NPI age
18 years
Enumerated 2007-06-06
Across 15661 active dentist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 87D471 | BCBS |
| 05 (TX) | 11241902 | |
| 01 (TX) | UC886411 | UNITED CONCORDIA |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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