NPI age
19 years
Enumerated 2007-03-13
Across 935 active dentist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 1564486-03 | |
| 05 (TX) | 1564486-05 | |
| 05 (TX) | 1564486-01 | |
| 05 (TX) | 1564486-04 | |
| 05 (TX) | 1564486-02 |
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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