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Organization
ROMNEY LASSEN DENTAL
Active
Organization
ROMNEY LASSEN DENTAL
Active
Other names
Spring St Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW LASSEN DMD (PRESIDENT)
(512) 321-1600
Entity
Organization
Contact information
Practice address
805 SPRING ST, BASTROP, TX 78602-3230
(512) 321-1600
Mailing address
805 SPRING ST, BASTROP, TX 78602-3230
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
27098
TX
Other
Enumeration date
01/19/2012
Last updated
01/19/2012
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