Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Andrew Carrillo, RDA

Individual provider Dental Assistant · NPI 1811451461

Mr. Andrew Carrillo, RDA is a Dental Assistant in Rialto, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2019

Practice location Address checks out

1205 Renaissance Pkwy Ste 240
Rialto, CA 92376-2418
Phone: (909) 243-7939
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Assistant (primary) Taxonomy 126800000X · Licence RDA89721 (CA)

Record details

NPI number1811451461
Entity typeIndividual (Type 1)
GenderMale
Credentials RDA
Sole proprietorYes
NPI enumeratedJanuary 29, 2019
Last updated in NPPESJanuary 29, 2019

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