NPI age
20 years
Enumerated 2005-07-22
Across 935 active dentist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 141763601 | |
| 05 (TX) | 141763604 |
Part of a multi-provider practice. 75 other active providers share this practice address in NPPES.
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