NPI age
17 years
Enumerated 2009-04-14
Across 935 active dentist providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 28677 | TEXAS DENTAL LICENSE |
| 05 (TX) | 32475102 |
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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