Signature Smiles of Bastrop

NPI #1093954521 in Bastrop, Texas

Provider Information

NPI Number: 1093954521
Entity Type: Organization
Organization Name: Signature Smiles of Bastrop
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 6, 2009
Last Updated: Feb 6, 2009

Practice Location

Address: 715 OLD AUSTIN HIGHWAY
Address 2: SUITE 400
City: Bastrop
State: Texas
ZIP Code: 78602
Phone: (512) 809-4228

Authorized Official

Name: DR. RONALD JOHN CALDWELL JR., DDS
Title: DENTIST
Phone: (512) 809-4228

Specialties & Taxonomy Codes

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

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