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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

Other identifiers
Code
Description
Identifier
Issuer
State
05
208670402
TX
Enumeration date
05/30/2012
Last updated
05/30/2012
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