One Smile Dental Pllc

NPI #1144578691 in Bastrop, Texas

Provider Information

NPI Number: 1144578691
Entity Type: Organization
Organization Name: One Smile Dental Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 15, 2012
Last Updated: Aug 15, 2012

Practice Location

Address: 201 CHILDERS DR STE 117
City: Bastrop
State: Texas
ZIP Code: 78602-4155
Phone: (512) 582-7970

Authorized Official

Name: NATHAN COLLINS, DDS
Title: OWNER
Phone: (512) 582-7970

Specialties & Taxonomy Codes

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

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