NPI age
19 years
Enumerated 2006-09-26
Across 1797 active dentist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | F0063772 | DPS |
| 05 (TX) | 120908208 | |
| 01 (TX) | 14987 | TX STATE BOARD OF DENTAL EXAMINERS LICENSE |
Part of a multi-provider practice. 26 other active providers share this practice address in NPPES.
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