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Organization
SIGNATURE SMILES OF BASTROP
Active
Organization
SIGNATURE SMILES OF BASTROP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD JOHN CALDWELL JR. DDS (DENTIST)
(512) 809-4228
Entity
Organization
Contact information
Practice address
715 OLD AUSTIN HIGHWAY, SUITE 400, BASTROP, TX 78602
(512) 809-4228
(512) 809-4228
Mailing address
715 OLD AUSTIN HIGHWAY, SUITE 400, BASTROP, TX 78602
(512) 809-4228
(512) 809-4228
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22132
TX
Other
Enumeration date
02/06/2009
Last updated
02/06/2009
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