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Organization

GREGORY KON, PC

Active
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Organization

GREGORY KON, PC

Active
Other names
Bastrop Denture & Implant Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GREGORY KON (OWNER/GENERAL DENTIST)
(626) 315-0101
Entity
Organization

Contact information

Practice address
301 HIGHWAY 71 W STE 102, BASTROP, TX 78602-4111
(512) 303-6900
(512) 321-3597
Mailing address
301 HIGHWAY 71 W STE 102, BASTROP, TX 78602-4111
(512) 303-6900
(512) 321-3597

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0300X
Periodontics
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1699293266
NPI
—
01
—
1821262213
NPI
TX
01
—
1841833696
NPI
—
Enumeration date
06/24/2025
Last updated
06/24/2025
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