NPI age
19 years
Enumerated 2007-02-12
Across 15661 active dentist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 0905879-03 | |
| 05 (TX) | 0905879-06 | |
| 05 (TX) | 0905879-05 | |
| 05 (TX) | 0905879-08 |
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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