Individual
DOMINIC ALBERTO CARRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-1087
(336) 716-4551
(336) 716-9642
Mailing address
ONE MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/02/2025
Last updated
04/02/2025
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