| Bastrop Family Dentistry | |
|
1113 Main St Bastrop TX 78602-3218 | |
| (512) 332-2353 | |
| Not Available |
| Full Name | Bastrop Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1113 Main St, Bastrop, Texas |
| Authorized Official Name and Position | Timothy Rawlings (OWNER/MANAGER) |
| Authorized Official Contact | 2103322353 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bastrop Family Dentistry 1113 Main St Bastrop TX 78602-3218 Ph: (512) 332-2353 | Bastrop Family Dentistry 1113 Main St Bastrop TX 78602-3218 Ph: (512) 332-2353 |
| NPI Number | 1003191677 |
|---|---|
| Provider Enumeration Date | 10/14/2011 |
| Last Update Date | 10/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003191677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Texas) | Primary |
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