Gary Anthony Carollo, D.D.S.

NPI #1063501013 in Wilmington, Illinois

Provider Information

NPI Number: 1063501013
Entity Type: Individual
Name: Gary Anthony Carollo, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Oct 11, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 101 FULTON ST
City: Wilmington
State: Illinois
ZIP Code: 60481-1694
Phone: (815) 476-6755

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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