Gary Anthony Carollo D.D.S.

NPI 1063501013 - Dentist - 122300000X

NPI Details
NPI 1063501013
Gender Male
Enumeration Date 10/11/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
101 FULTON ST
WILMINGTON IL, 60481-1694, US
Phone (815) 476-6755
Fax
Business Location
101 FULTON ST
WILMINGTON IL, 60481-1694, US
Phone (815) 476-6755
Fax
Toxanomy
Taxonomy Code 122300000X
License State
License Number
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According to our database, Gary Anthony Carollo D.D.S. NPI is 1063501013, taxonomy code is 122300000X Gary Anthony Carollo D.D.S. physically located at 101 Fulton St, Wilmington IL, 60481-1694. NPI Number Gary Anthony Carollo D.D.S. has the Individual type.

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1063501013 NPI number is provided on an as is basis without warranty of any kind. 1063501013 is maintained by the National Plan & Provider Enumeration System. The contents of Gary Anthony Carollo D.D.S. are for informational purposes only.