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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