NPI age
20 years
Enumerated 2005-07-18
Across 935 active dentist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 1306284-03 | |
| 01 (TX) | 742404710 | TAX ID |
| 01 (TX) | D14375 | DELTA TX CHIPS |
| 05 (TX) | 1306284-05 | |
| 01 (TX) | 840368 | UNITED CONCORDIA |
Part of a multi-provider practice. 1403 other active providers share this practice address in NPPES.
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