Individual
DR. CHARLES DAVID KRILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1920 CRESTON RD STE B, PASO ROBLES, CA 93446-4462
(805) 239-2146
(805) 239-9097
Mailing address
1920 CRESTON RD STE B, PASO ROBLES, CA 93446-4462
(805) 239-2146
(805) 239-9097
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
23334
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B23334-03
—
CA
Enumeration date
10/11/2006
Last updated
07/09/2007
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