NPI age
17 years
Enumerated 2009-04-01
Across 935 active dentist providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 1033759584 | |
| 05 (TX) | 1508008855 |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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