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Individual

DR. CARLOS V JARAMILLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
213 CEDAR DR, SUITE C, PORTLAND, TX 78374
(361) 643-2522
(361) 643-1266
Mailing address
213 CEDAR DR, SUITE C, PORTLAND, TX 78374
(361) 643-2522
(361) 643-1266

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15633
TX

Other

Enumeration date
12/05/2006
Last updated
07/08/2007
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