Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Andrew Carrillo, RDA

Individual provider Dental Assistant · NPI 1811451461

Mr. Andrew Carrillo, RDA is a Dental Assistant in Rialto, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2019

Practice location Address checks out

1205 Renaissance Pkwy Ste 240
Rialto, CA 92376-2418
Phone: (909) 243-7939
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Assistant (primary) Taxonomy 126800000X · Licence RDA89721 (CA)

Record details

NPI number1811451461
Entity typeIndividual (Type 1)
GenderMale
Credentials RDA
Sole proprietorYes
NPI enumeratedJanuary 29, 2019
Last updated in NPPESJanuary 29, 2019
Mailing address1205 Renaissance Pkwy Ste 240, Rialto, CA 92376-2418

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