NPI age
20 years
Enumerated 2006-03-06
Across 15661 active dentist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (KS) | 200268410A | |
| 05 (TX) | 3163362 | |
| 01 (KS) | 9177274 | DORAL |
| 05 (OK) | 200035910A |
Solo or small practice. No other active providers share this practice address in NPPES.
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