Terry L Test, DDS Valid NPI

Individual provider · General Practice Dentistry · Flower Mound, TX

NPI

1649288747

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

D15950 (TX)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-08-04

Last updated

2007-07-08