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Individual
DR. ERNEST THOMAS BICE
Active
Individual
DR. ERNEST THOMAS BICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17059
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00191100
UNITED CONCORDIA
TX
01
—
D17059
BC/BS PROVIDER ID
TX
01
—
G60093-01
TEXAS CHIP PROVIDER ID
TX
Enumeration date
08/29/2006
Last updated
07/08/2007
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