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Wallace Carrillo-medina, DMD
General Practice Dentistry in Burlington, North Carolina
NPI 1558649947

Wallace Carrillo-medina is a General Practice Dentistry based in Burlington, NC and is specialized in General Practice. Wallace Carrillo-medina practices in Burlington, NC and has the professional credentials of DMD. The NPI Number for Wallace Carrillo-medina is 1558649947 and holds a License No. 055454 (North Carolina).

The current practice location address for Wallace Carrillo-medina is 2211 Delaney Dr, Burlington, NC and can be reached out via phone at 336-226-4714.

Location: 2211 Delaney Dr, Burlington, NC, 27215-5263
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558649947
Provider Name
Wallace Carrillo-medina
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
2211 Delaney Dr, Burlington, NC, 27215-5263
Phone Number
336-226-4714
Fax Number
Provider Enumeration Date
08/02/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2211 Delaney Dr
City
Burlington
State
North Carolina
Zip
27215-5263
Phone Number
336-226-4714
Fax Number
person
Provider Business Mailing Address Details
Address
2211 Delaney Dr
City
Burlington
State
North Carolina
Zip
27215-5263
Phone Number
336-226-4714
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
055454 (New York)
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.
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