NPI age
12 years
Enumerated 2013-11-06
Across 15661 active dentist providers in Texas.
3 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 1223G001X | GENERAL DENTIST |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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