NPI age
18 years
Enumerated 2008-02-14
Across 15661 active dentist providers in Texas.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 155784502 | |
| 05 (TX) | 155784506 | |
| 05 (TX) | 155784503 | |
| 05 (TX) | 155784504 | |
| 05 (TX) | 155784505 |
Multi-provider organization. 1 individual provider on file at this primary address.
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