| NPI | 1144117862 |
|---|---|
| Doing Business As | BASTROP DENTURE & IMPLANT CENTER |
| Entity Type | Organization |
| Authorized Contact | GREGORY KON Owner/General Dentist 626-315-0101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2025-06-24 |
| Last Update Date | 2025-06-24 |