NPI age
19 years
Enumerated 2006-10-12
Across 9237 active dentist providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (OR) | 181134 | |
| 01 | 911019392 | COMMERCIAL |
Solo or small practice. No other active providers share this practice address in NPPES.
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