Ricardo Carlo Carrillo, DDS

NPI #1174979991 in Winter Garden, Florida

Provider Information

NPI Number: 1174979991
Entity Type: Individual
Name: Ricardo Carlo Carrillo, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: May 11, 2016
Last Updated: Jan 11, 2021

Practice Location

Address: 1993 DANIELS RD STE 120
City: Winter Garden
State: Florida
ZIP Code: 34787-4598
Phone: (407) 395-9335

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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