NPI age
14 years
Enumerated 2011-11-04
Across 15661 active dentist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 27562 | GENERAL DENTIST |
| 01 (TN) | 9359 | TN DENTAL LICENSE NUMBER 9359 |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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