NPI age
15 years
Enumerated 2010-07-15
Across 9237 active dentist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (MO) | 2010020531 | |
| 01 (MO) | 2010020531 | PEDIACTRICS |
Solo or small practice. No other active providers share this practice address in NPPES.
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