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Individual

DR. CAROLYN A. ETHEREDGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
3631 N HILLS DR, AUSTIN, TX 78731-3000
(512) 345-2425
(512) 345-3898
Mailing address
6604 MESA DR, AUSTIN, TX 78731-2706
(512) 965-5347
(512) 255-3898

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
24282
TX
1223G0001X
General Practice Dentistry
2901018922
MI

Other

Enumeration date
05/02/2006
Last updated
06/25/2024
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