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Organization
VICTOR H. CARRILLO PROFESSIONAL DENTAL CORP.
Active
Organization
VICTOR H. CARRILLO PROFESSIONAL DENTAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR H. CARRILLO D.D.S. (OWNER/DENTIST)
(619) 420-2231
Entity
Organization
Contact information
Practice address
333 H STREET,, STE 1015, CHULA VISTA, CA 91910
(619) 420-2231
(619) 420-2312
Mailing address
333 H STREET,, STE 1015, CHULA VISTA, CA 91910
(619) 420-2231
(619) 420-2312
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
40553
CA
Other
Enumeration date
02/19/2009
Last updated
06/25/2009
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