Individual
DIANA T CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
143 AIRPORT RD, CONCORD, NH 03301-7300
(603) 225-6650
Mailing address
143 AIRPORT RD, CONCORD, NH 03301-7300
(603) 225-6650
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
03901
NH
Other
Enumeration date
06/01/2012
Last updated
06/01/2012
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