Individual
AMARIS CARABALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
711 W 38TH ST STE E4, AUSTIN, TX 78705
(512) 479-6633
Mailing address
1414 BEAR PEAK LN, PFLUGERVILLE, TX 78660-5994
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
34595
TX
Other
Enumeration date
04/30/2018
Last updated
08/12/2019
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