Bastrop Family Dentistry

NPI #1003191677 in Bastrop, Texas

Provider Information

NPI Number: 1003191677
Entity Type: Organization
Organization Name: Bastrop Family Dentistry
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 14, 2011
Last Updated: Oct 14, 2011

Practice Location

Address: 1113 MAIN ST
City: Bastrop
State: Texas
ZIP Code: 78602-3218
Phone: (512) 332-2353

Authorized Official

Name: TIMOTHY RAWLINGS, DDS
Title: OWNER/MANAGER
Phone: (210) 332-2353

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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