NPI age
3 years
Enumerated 2022-06-25
Across 1850 active dentist providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (VA) | 0401417916 | VA DENTAL LICENSE |
Part of a multi-provider practice. 23 other active providers share this practice address in NPPES.
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