| Bastrop Kids Teeth, PLLC | |
|
622 W State Highway 71 Ste 101 Bastrop TX 78602-4234 | |
| (512) 468-0649 | |
| Not Available |
| Full Name | Bastrop Kids Teeth, PLLC |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 622 W State Highway 71 Ste 101, Bastrop, Texas |
| Authorized Official Name and Position | Melanie Babot (DENTIST) |
| Authorized Official Contact | 5124680649 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bastrop Kids Teeth, PLLC 622 W State Highway 71 Ste 101 Bastrop TX 78602-4234 | Bastrop Kids Teeth, PLLC 622 W State Highway 71 Ste 101 Bastrop TX 78602-4234 Ph: (512) 468-0649 |
| NPI Number | 1588325989 |
|---|---|
| Provider Enumeration Date | 01/07/2022 |
| Last Update Date | 01/07/2022 |
| Certification Date | 01/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588325989 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | () | Primary |
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