| Pediatric Dentistry of Bastrop PLLC | |
|
751 Best Dr Ste C Seguin TX 78155-3637 | |
| (830) 837-0153 | |
| Not Available |
| Full Name | Pediatric Dentistry of Bastrop PLLC |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 751 Best Dr Ste C, Seguin, Texas |
| Authorized Official Name and Position | Matthew Lassen (MEMBER) |
| Authorized Official Contact | 8013621848 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dentistry of Bastrop PLLC 1207 Chestnut St Bastrop TX 78602-3307 Ph: (830) 837-0153 | Pediatric Dentistry of Bastrop PLLC 751 Best Dr Ste C Seguin TX 78155-3637 Ph: (830) 837-0153 |
| NPI Number | 1487492450 |
|---|---|
| Provider Enumeration Date | 07/16/2024 |
| Last Update Date | 08/13/2024 |
| Certification Date | 08/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487492450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | () | Primary |
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