NPI age
19 years
Enumerated 2007-01-05
Across 15661 active dentist providers in Texas.
4 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 3403552-05 | |
| 05 (TX) | 3403552-04 | |
| 05 (TX) | 3403552-06 | |
| 05 (NY) | 02608157 |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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