| Wallace Carrillo-medina Dmd Pa | |
|
511 Greensboro St Asheboro NC 27203-4736 | |
| (732) 692-6929 | |
| Not Available |
| Full Name | Wallace Carrillo-medina Dmd Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 511 Greensboro St, Asheboro, North Carolina |
| Authorized Official Name and Position | Wallace Carrillo-medina (PRESIDENT) |
| Authorized Official Contact | 3366293112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wallace Carrillo-medina Dmd Pa 511 Greensboro St Asheboro NC 27203-4736 Ph: (336) 629-3112 | Wallace Carrillo-medina Dmd Pa 511 Greensboro St Asheboro NC 27203-4736 Ph: (732) 692-6929 |
| NPI Number | 1558869917 |
|---|---|
| Provider Enumeration Date | 01/30/2018 |
| Last Update Date | 02/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558869917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X2210X | Dentist - Orofacial Pain | (* (Not Available)) | Secondary |
| 261QD0000X | Clinic/center - Dental | 9900 (North Carolina) | Primary |
Access Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 S Park St, Asheboro, NC 27203 Phone: 336-626-7232 Fax: 336-625-5724 | |
Henry L Vruwink Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 Scarboro St, Asheboro, NC 27203 Phone: 336-629-3113 Fax: 336-629-8341 | |
W Kelly Harris Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 307a Foust St, Asheboro, NC 27203 Phone: 336-625-4137 | |
Asheboro Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 350 N Cox St, Suite #11, Asheboro, NC 27203 Phone: 336-629-6488 | |
David B Malin Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Foust St, Asheboro, NC 27203 Phone: 336-629-3131 | |
William C Rabe Dmd Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 350 North Cox Street, Suite #3, Asheboro, NC 27203 Phone: 336-626-9989 Fax: 336-626-0701 | |
Asheboro Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 350 N Cox St, Suite 11, Asheboro, NC 27203 Phone: 336-629-6488 |