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Ricardo Carlo Carrillo, DDS
Student in an Organized Health Care Education/Training Program in Winter Garden, Florida
NPI 1174979991

Ricardo Carlo Carrillo is a Student in an Organized Health Care Education/Training Program based in Winter Garden, FL. Ricardo Carlo Carrillo practices in Winter Garden, FL and has the professional credentials of DDS. The NPI Number for Ricardo Carlo Carrillo is 1174979991 and holds a License No. 23339 (Florida).

The current practice location address for Ricardo Carlo Carrillo is 1993 Daniels Rd Ste 120, Winter Garden, FL and can be reached out via phone at 407-395-9335.

Location: 1993 Daniels Rd Ste 120, Winter Garden, FL, 34787-4598
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174979991
Provider Name
Ricardo Carlo Carrillo
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1993 Daniels Rd Ste 120, Winter Garden, FL, 34787-4598
Phone Number
407-395-9335
Fax Number
Provider Enumeration Date
05/11/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1174979991 05 FL
institution
Provider Business Practice Location Address Details
Address
1993 Daniels Rd Ste 120
City
Winter Garden
State
Florida
Zip
34787-4598
Phone Number
407-395-9335
Fax Number
person
Provider Business Mailing Address Details
Address
1993 Daniels Rd Ste 120
City
Winter Garden
State
Florida
Zip
34787-4598
Phone Number
407-395-9335
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
1507 (Florida)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
23339 (Florida)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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