NPI age
19 years
Enumerated 2006-06-24
Across 9237 active dentist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 21908 | TEXAS DENTAL LICENSE |
| 05 (TX) | 281602701 |
Part of a multi-provider practice. 16 other active providers share this practice address in NPPES.
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