NPI age
20 years
Enumerated 2005-06-27
Across 1850 active dentist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 090636402 | |
| 05 (TX) | TPI#0906364-02 |
Solo or small practice. No other active providers share this practice address in NPPES.
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