institution
Wallace Carrillo-medina Dmd Pa
Dental Clinic/Center in Asheboro, North Carolina
NPI 1558869917

Wallace Carrillo-medina Dmd Pa is a Dental Clinic/Center based in Asheboro, NC and is specialized in Dental. Wallace Carrillo-medina Dmd Pa practices in Asheboro, NC. The NPI Number for Wallace Carrillo-medina Dmd Pa is 1558869917 and holds a License No. (North Carolina).

The current practice location address for Wallace Carrillo-medina Dmd Pa is 511 Greensboro St, Asheboro, NC and can be reached out via phone at 732-692-6929.

Location: 511 Greensboro St, Asheboro, NC, 27203-4736
institution
Provider Profile Details
NPI Number
1558869917
Provider Name
Wallace Carrillo-medina Dmd Pa
Credential
Provider Entity Type
Organization
Address
511 Greensboro St, Asheboro, NC, 27203-4736
Phone Number
732-692-6929
Fax Number
Provider Enumeration Date
01/30/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
511 Greensboro St
City
State
Zip
27203-4736
Phone Number
732-692-6929
Fax Number
person
Provider Business Mailing Address Details
Address
511 Greensboro St
City
State
Zip
27203-4736
Phone Number
732-692-6929
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Orofacial Pain
Taxonomy
License No.
9900 (North Carolina)
Definition
A dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain Residency Programs, and/or meets the requirements for examination and board certification by the American Board of Orofacial Pain.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
()
Definition
Definition to come...
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