Wallace Carrillo-Medina Dmd Pa

LBN: Wallace Carrillo-Medina Dmd Pa
Wallace Carrillo-Medina Dmd Pa is an health care organization with primary practice located at 511 Greensboro St , Asheboro NC 27203-4736. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Wallace Carrillo-Medina Dmd Pa can be contacted via phone (732) 692-6929, or through Carrillo-Medina, Wallace via phone (336) 629-3112.

Contact Information

Primary practice address
511 Greensboro St Asheboro NC 27203-4736
Phone: (732) 692-6929
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Carrillo-Medina, Wallace DMD PA
Phone: (336) 629-3112

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X 9900 North Carolina

Profile Details

NPI number 1558869917
LBN Legal business name Wallace Carrillo-Medina Dmd Pa
DBA Doing business as
Authorized official Carrillo-Medina, Wallace DMD PA
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2018
Last updated Feb 24th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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