NPI age
19 years
Enumerated 2006-07-01
Across 935 active dentist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 167586001 | |
| 01 (TX) | 88D755 | BCBS |
Part of a multi-provider practice. 376 other active providers share this practice address in NPPES.
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