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Individual
DR. CARLITO P. ILAWAN
Active
Individual
DR. CARLITO P. ILAWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4361
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00660199
—
MS
05
—
1843610
—
LA
01
—
971021
UNITED CONCORDIA
PA
01
—
A2370
BLUE CROSS BLUE SHIELD OF LA
LA
Enumeration date
05/14/2008
Last updated
09/11/2025
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