Bastrop Family Dentistry

NPI 1003191677 - Dentist - 1223G0001X

NPI Details
NPI 1003191677
Enumeration Date 10/14/2011
Last Updated 10/14/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name TIMOTHY TIMOTHY
Position OWNER/MANAGER
Phone (512) 332-2353
Fax
Practice Location
1113 MAIN ST
BASTROP TX, 78602-3218, US
Phone (512) 332-2353
Fax
Business Location
1113 MAIN ST
BASTROP TX, 78602-3218, US
Phone (512) 332-2353
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State
License Number
Remove 1003191677 NPI Number
 

According to our database, Bastrop Family Dentistry NPI is 1003191677, taxonomy code is 1223G0001X Bastrop Family Dentistry physically located at 1113 Main St, Bastrop TX, 78602-3218. NPI Number 1033115704 has the healthcare provider type.

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1003191677 NPI number is provided on an as is basis without warranty of any kind. 1003191677 is maintained by the National Plan & Provider Enumeration System. The contents of Bastrop Family Dentistry are for informational purposes only.