Erica Avila Carrillo
Dental Assistant
1014 Broadmoor Ave
La Puente
, California 91744-1806
Erica Avila Carrillo
Dental Assistant
1014 Broadmoor Ave
La Puente
, California 91744-1806
(661) 427-1943
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About
Features
Specialties
- Dental Assistant
Languages spoken
- English
Location
First Address
- Erica Avila Carrillo
- 1014 Broadmoor Ave
- La Puente, CA
- Zip : 91744-1806
- Phone : (661) 427-1943
Second Address
- Erica Avila Carrillo
- 1014 Broadmoor Ave
- La Puente, CA
- Zip : 91744-1806
- Phone : (661) 427-1943
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | 73796 | CA |
National Provider Identifier
| NPI | 1336562875 |
|---|---|
| Provider Name | Erica Avila Carrillo |
| First Address | La Puente, CA 91744-1806 |
| Second Address | La Puente, CA 91744-1806 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/02/2014 |
| Last Update Date | 03/02/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.