NPI age
19 years
Enumerated 2006-11-17
Across 15661 active dentist providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (NV) | 100509704 |
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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