NPI age
18 years
Enumerated 2008-04-01
Across 15661 active dentist providers in Texas.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 807759 | UNITED CONDORDIA |
| 05 (TX) | 1740304161 | |
| 01 (TX) | 85D585 | BLUE CROSS BLUE SHIELD |
| 01 (TX) | G60271-04 | CHIP |
Multi-provider organization. 1 individual provider on file at this primary address.
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