| Victor H. Carrillo Professional Dental Corp. | |
|
333 H Street, Ste 1015 Chula Vista CA 91910 | |
| (619) 420-2231 | |
| (619) 420-2312 |
| Full Name | Victor H. Carrillo Professional Dental Corp. |
|---|---|
| Speciality | Dentist |
| Location | 333 H Street,, Chula Vista, California |
| Authorized Official Name and Position | Victor H. Carrillo (OWNER/DENTIST) |
| Authorized Official Contact | 6194202231 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Victor H. Carrillo Professional Dental Corp. 333 H Street, Ste 1015 Chula Vista CA 91910 Ph: (619) 420-2231 | Victor H. Carrillo Professional Dental Corp. 333 H Street, Ste 1015 Chula Vista CA 91910 Ph: (619) 420-2231 |
| NPI Number | 1750520466 |
|---|---|
| Provider Enumeration Date | 02/19/2009 |
| Last Update Date | 06/25/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750520466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 40553 (California) | Primary |
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