NPI age
18 years
Enumerated 2007-10-31
Across 15661 active dentist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 205094012 | |
| 01 (CA) | 56361 | STATE OF CALIFORNIA |
Solo or small practice. No other active providers share this practice address in NPPES.
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