NPI age
18 years
Enumerated 2007-07-19
Across 935 active dentist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 211956202 | |
| 05 (OK) | 200415100A |
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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