Individual
EHESAR CAFFRONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS,MSD
Contact information
Practice address
11828 RING DR STE 102, MANOR, TX 78653-2106
(512) 640-5435
Mailing address
105 ISABELLA WAY, LIBERTY HILL, TX 78642-2197
(954) 854-1195
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DRP #1173
FL
1223P0700X
Prosthodontics
Primary
33346
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275932964
—
FL
Enumeration date
08/19/2014
Last updated
02/18/2021
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