Provider Demographics
NPI:1902037609
Name:CARPIO, CECILIA ELIZABETH (DDS)
Entity Type:Individual
Prefix:DR
First Name:CECILIA
Middle Name:ELIZABETH
Last Name:CARPIO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11041 SHADOW CREEK PKWY
Mailing Address - Street 2:SUITE # 125
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-7402
Mailing Address - Country:US
Mailing Address - Phone:832-661-4656
Mailing Address - Fax:
Practice Address - Street 1:11041 SHADOW CREEK PKWY
Practice Address - Street 2:SUITE # 125
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-7402
Practice Address - Country:US
Practice Address - Phone:832-661-4656
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-30
Last Update Date:2011-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX248801223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry