Wallace Carrillo-Medina, DMD
NPI #1558649947 in High Point, North Carolina
Provider Information
- NPI Number
- 1558649947
- Entity Type
- Individual
- Name
- Wallace Carrillo-Medina, DMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- Aug 2, 2011
- Last Updated
- Feb 10, 2025
Practice Location
- Address
- 101 NORTHPOINT AVE
- City
- High Point
- State
- North Carolina
- ZIP Code
- 27262-7719
- Phone
- (336) 883-6450
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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