Individual
DR. BRENT BAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3106 SOUTH WS YOUNG, STE C304, KILLEEN, TX 76542
(254) 618-5050
(254) 618-5681
Mailing address
7515 CAMERON ROAD SUITE 107, AUSTIN, TX 78752
(512) 371-1252
(512) 371-3914
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
17317
TX
Other
Enumeration date
08/26/2006
Last updated
07/08/2007
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