Organization
ABILENE SMILECRAFTERS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEANNE HANSEN BAYLESS D.D.S. (OWNER)
(325) 673-8164
Entity
Organization
Contact information
Practice address
1034 N WILLIS ST, ABILENE, TX 79603-4622
(325) 673-8164
(325) 673-0812
Mailing address
1034 N WILLIS ST, ABILENE, TX 79603-4622
(325) 673-8164
(325) 673-0812
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12014
TX
Other
Enumeration date
12/08/2009
Last updated
06/01/2012
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