NPI age
19 years
Enumerated 2006-07-27
Across 9237 active dentist providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 187076801 | |
| 05 (TX) | 092953101 | |
| 01 (TX) | 22787 | TEXAS LICENSE |
Solo or small practice. No other active providers share this practice address in NPPES.
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