Individual
DR. NATHAN JAMES CARILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
357 MCCASLIN BLVD STE 200, LOUISVILLE, CO 80027-2932
(970) 699-8954
Mailing address
357 MCCASLIN BLVD STE 200, LOUISVILLE, CO 80027-2932
(970) 699-8954
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
Primary
DEN.00204375
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/16/2016
Last updated
11/02/2020
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