NPI age
20 years
Enumerated 2006-01-12
Across 1850 active dentist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 157853601 | |
| 01 (TX) | 37-1462139 | TAX ID |
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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