| Organization Name: | AMELIA HAFFNER BAUGH, DDS, PA |
| NPI Number: | 1689983413 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | AMELIA HAFFNER BAUGH (DENTIST/OWNER) |
| Mailing Address: | 1373 Avondale Haslet Rd. Haslet |
| State: | TX US |
| Postal Code: | 76052 |
| Phone Number: | 8172961741 |
| Fax Number: | |
| NPI Enumeration Date: | 09/28/2010 |
| NPI Last Update Date: | 09/28/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 24024 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |