Individual
ANA CARRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12044 SMALLWOOD AVE, DOWNEY, CA 90242-2329
(562) 923-2502
Mailing address
12044 SMALLWOOD AVE, DOWNEY, CA 90242-2329
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
04/07/2020
Last updated
04/07/2020
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