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Organization

PEDIATRIC DENTISTRY OF BASTROP PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MATTHEW LASSEN DMD (MEMBER)
(801) 362-1848
Entity
Organization

Contact information

Practice address
751 BEST DR STE C, SEGUIN, TX 78155-3637
(830) 837-0153
Mailing address
1207 CHESTNUT ST, BASTROP, TX 78602-3307
(830) 837-0153

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary

Other

Enumeration date
07/16/2024
Last updated
08/13/2024
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