Wallace Carrillo-Medina DMD PA
Wallace Carrillo-Medina DMD PA is an Orofacial Pain Dentistry in Asheboro, North Carolina. Licensed in North Carolina. Registered with an NPI since 2018.
- Licensed in
- NC
- In the registry since
- 2018
- Specialties on file
- 2
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: (732) 692-6929
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X · Licence 9900 (NC) |
|---|---|
| Orofacial Pain Dentistry | Taxonomy 1223X2210X |
Record details
| NPI number | 1558869917 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Wallace Carrillo-Medina — President · (336) 629-3112 |
| NPI enumerated | January 30, 2018 |
| Last updated in NPPES | February 24, 2021 |
| Certification date | February 23, 2021 |
| Mailing address | 511 Greensboro St, Asheboro, NC 27203-4736 |
Other providers in Asheboro
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Wallace Carrillo-Medina DMD MS PA
511 Greensboro St, Asheboro, NC 27203-4736 · (336) 629-3112