Organization
ERNESTO CARMONA JR DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERNESTO CARMONA DDS (OWNER)
(512) 250-9444
Entity
Organization
Contact information
Practice address
10125A LAKE CREEK PKWY, AUSTIN, TX 78729-1711
(512) 250-9444
Mailing address
10125A LAKE CREEK PKWY, AUSTIN, TX 78729-1711
(512) 250-9444
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
06/02/2020
Last updated
06/02/2020
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