Individual
DR. BRIAN PAUL DEL CARLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1540 CORNERSTONE BLVD STE 100, DAYTONA BEACH, FL 32117-7144
(630) 336-8478
Mailing address
6318 MARTIN DR, WILLOWBROOK, IL 60527-5328
(630) 336-8478
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0190-25025
IL
1223G0001X
General Practice Dentistry
Primary
DN30268
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114924900
—
FL
Enumeration date
01/21/2009
Last updated
11/05/2025
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