Organization
ORTHO 360, LLP
Active
Organization
ORTHO 360, LLP
Active
Other names
Bastrop Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANTON J. HENRY D.D.S., M.D.S. (PARTNER)
(512) 695-9404
Entity
Organization
Contact information
Practice address
301 HIGHWAY 71 W, SUITE 201, BASTROP, TX 78602-4105
(512) 321-1000
(512) 332-2363
Mailing address
301 HIGHWAY 71 W, SUITE 201, BASTROP, TX 78602-4105
(512) 321-1000
(512) 332-2363
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
04/20/2007
Last updated
08/22/2020
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