| NPI | 1508084294 |
|---|---|
| Doing Business As | BASTROP ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | STANTON J. HENRY Partner 512-695-9404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2020-08-22 |