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Organization

CARRILLO-ORDONEZ DENTAL CORPORATION INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRYANT CARRILLO (DDS)
(530) 354-6773
Entity
Organization

Contact information

Practice address
138 E WALKER ST, ORLAND, CA 95963-1526
(530) 865-4762
Mailing address
1001 ADLAR CT, CHICO, CA 95926-9637
(530) 570-4974

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
58020
CA

Other

Enumeration date
11/04/2015
Last updated
11/04/2015
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