| Spring St Dental | |
|
805 Spring St Bastrop TX 78602-3230 | |
| (512) 321-1600 | |
| Not Available |
| Full Name | Spring St Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 805 Spring St, Bastrop, Texas |
| Authorized Official Name and Position | Matthew Lassen (PRESIDENT) |
| Authorized Official Contact | 5123211600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spring St Dental 805 Spring St Bastrop TX 78602-3230 Ph: () - | Spring St Dental 805 Spring St Bastrop TX 78602-3230 Ph: (512) 321-1600 |
| NPI Number | 1306117510 |
|---|---|
| Provider Enumeration Date | 01/19/2012 |
| Last Update Date | 01/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306117510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 27098 (Texas) | Primary |
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