NPI age
19 years
Enumerated 2007-03-19
Across 15661 active dentist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 1350472-07 | |
| 05 (TX) | 1350472-04 | |
| 05 (TX) | 1350472-05 | |
| 05 (TX) | 1350472-01 | |
| 05 (TX) | 1350472-06 |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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