NPI age
8 years
Enumerated 2017-10-30
Across 1850 active dentist providers in Texas.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 1710401021 | NPI TYPE 1 |
Multi-provider organization. 1 individual provider on file at this primary address.
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