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Organization
BROWNWOOD SMILECRAFTERS, PLLC
Active
Organization
BROWNWOOD SMILECRAFTERS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNE HANSEN BAYLESS DDS (PRESIDENT)
(325) 673-8164
Entity
Organization
Contact information
Practice address
3709 AUSTIN AVE, BROWNWOOD, TX 76801-6626
(325) 646-0516
Mailing address
3709 AUSTIN AVE, BROWNWOOD, TX 76801-6626
(325) 646-0516
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12014
TX
Other
Enumeration date
05/30/2012
Last updated
05/30/2012
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