NPI age
10 years
Enumerated 2015-10-12
Across 401 active dentist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TN) | 16248 | 1223P0300X |
| 01 (TX) | 30821 | 1223P0700X |
| 01 (TX) | 19266 | 1223P300X |
| 01 (TX) | 28398 | 1223P0700X |
Doing-business-as, former, and alternate names recorded by NPPES.
Single-site organization. Only one practice location on file.
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