NPI age
13 years
Enumerated 2012-06-06
Across 15661 active dentist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | B18012-2 | CHIP |
| 05 (TX) | 145820001 | |
| 05 (TX) | 145819201 |
Single-site organization. Only one practice location on file.
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