Wallace Carrillo-Medina DMD MS PA
Wallace Carrillo-Medina DMD MS PA is an Orofacial Pain Dentistry in Asheboro, North Carolina. Registered with an NPI since 2020.
- In the registry since
- 2020
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
511 Greensboro StAsheboro, NC 27203-4736
Phone: (336) 629-3112
Fax: (336) 629-4251
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Orofacial Pain Dentistry (primary) | Taxonomy 1223X2210X |
|---|
Record details
| NPI number | 1689290173 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Wallace Carrillo-Medina — President · (336) 629-3112 |
| NPI enumerated | June 19, 2020 |
| Last updated in NPPES | June 19, 2020 |
| Certification date | June 19, 2020 |
| Mailing address | 511 Greensboro St, Asheboro, NC 27203-4736 |
Other providers in Asheboro
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Wallace Carrillo-Medina DMD PA
511 Greensboro St, Asheboro, NC 27203-4736 · (732) 692-6929