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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