Whalio Doctors

NPI 1184286304

Alexis Leigh Carrillo-Holguin, RDHAP

Practitioner Advanced Practice Dental Therapist San Diego, CA

Practice location

Address
501 W Broadway STE 800, San Diego, CA 92101-3546
Phone
(619) 368-0053

Registered specialties

Advanced Practice Dental Therapist Primary
Dental Providers Taxonomy 125K00000X Licence HAP741 (CA)

Registry record

NPI
1184286304
Entity type
Individual
Sex (as registered)
Female
NPI issued
8 Jul 2019
Record last updated
8 Jul 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.