NPI age
18 years
Enumerated 2007-08-14
Across 935 active dentist providers in Texas.
6 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 1396759478 | INDIVIDUAL NPI |
| 05 (TX) | 179739101 |
Multi-provider organization. 6 individual providers on file at this primary address.
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