NPI age
17 years
Enumerated 2008-10-22
Across 1797 active dentist providers in Texas.
4 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 091145501 | |
| 05 (TX) | 009019301 |
Multi-provider organization. 4 individual providers on file at this primary address.
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