NPI age
17 years
Enumerated 2008-11-24
Across 1797 active dentist providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (MA) | 110091265A | |
| 05 (MA) | 110076306A | |
| 05 (TX) | 330454501 |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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