NPI age
11 years
Enumerated 2014-08-25
Across 9237 active dentist providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 30359 | LICENSE |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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