Individual
DR. ERNESTO CARMONA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
10125 LAKE CREEK PKWY, SUITE A, AUSTIN, TX 78729-1711
(512) 250-9444
(512) 250-9790
Mailing address
10125A LAKE CREEK PKWY, AUSTIN, TX 78729-1711
(512) 250-9444
(512) 250-9790
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
25028
TX
Other
Enumeration date
09/29/2009
Last updated
12/22/2015
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