Individual
DR. BRYANT CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8890 CAL CENTER DIVE, SACRAMENTO, CA 95826
(916) 922-5000
(916) 646-9000
Mailing address
8890 CAL CENTER DIVE, SACRAMENTO, CA 95826
(916) 922-5000
(916) 646-9000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
58020
CA
Other
Enumeration date
01/15/2009
Last updated
01/15/2009
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