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Organization
THE DENTISTS PLLC
Active
Organization
THE DENTISTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACLYN N SMITH DDS (OWNER)
(512) 303-4545
Entity
Organization
Contact information
Practice address
301 HIGHWAY 71 W STE 200, BASTROP, TX 78602
(512) 303-4545
(512) 321-7300
Mailing address
301 HIGHWAY 71 W STE 200, BASTROP, TX 78602
(512) 303-4545
(512) 321-7300
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
—
—
Other
Enumeration date
01/05/2018
Last updated
01/05/2018
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