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NPI 1184286304

IndividualActive

Alexis Carrillo-Holguin, RDHAP

NPI 1184286304 · Advanced Practice Dental Therapist · San Diego, CA

Provider details

NPI number: 1184286304
Entity type: Individual
Primary specialty: Advanced Practice Dental TherapistDental Providers
Credential: RDHAP
Sex: Female
Sole proprietor: Yes
License: HAP741 (CA)

Practice location

501 W Broadway Ste 800

San Diego, CA 92101-3546

Phone: (619) 368-0053

More CA providers

Mailing address

501 W Broadway Ste 800

San Diego, CA 92101-3546

Registry dates

Enumerated: 2019-07-08
Last updated: 2019-07-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Alexis Carrillo-Holguin, RDHAP — NPI 1184286304, San Diego, CA | NPI Central