NPI age
19 years
Enumerated 2007-03-28
Across 15661 active dentist providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (NM) | 912186110 | DORAL DENTAL - MEDICAID |
| 05 (NM) | 44425864 | |
| 01 | 01584804 | UNITED CONCORDIA |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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