The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
TX license #10174taxonomy 1223S0112X
Identifiers
Type
Value
Notes
05 (TX)
090197702
05 (TX)
090213202
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
DRS. PORTALES & TEST
Type code 3recorded 2008-07-29
Practice context
Multi-provider organization.
2 individual providers on file at this primary address.
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