Individual
DR. CARLOS A CARRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MSD
Contact information
Practice address
2014 W BEAUREGARD AVE, SAN ANGELO, TX 76901-3813
(325) 480-1127
Mailing address
2014 W BEAUREGARD AVE, SAN ANGELO, TX 76901-3813
(325) 480-1127
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
36735
TX
Other
Enumeration date
10/01/2020
Last updated
07/28/2021
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