Individual
DR. COLE THOMAS SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
708 PECAN ST, BASTROP, TX 78602-3816
(512) 321-2188
Mailing address
708 PECAN ST, BASTROP, TX 78602-3816
(512) 321-2188
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901020930
MI
122300000X
Dentist
Primary
30896
TX
Other
Enumeration date
06/20/2013
Last updated
01/13/2021
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