NPI age
8 years
Enumerated 2017-07-11
Across 15661 active dentist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (CO) | DEN00203297 | |
| 05 (CO) | 1891217949 |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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