| Organization Name: | 16:3 DENTAL, PC |
| NPI Number: | 1902228257 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SAMUEL BABER (PRESIDENT) |
| Mailing Address: | 513 E Yeagua St Groesbeck |
| State: | TX US |
| Postal Code: | 766421578 |
| Phone Number: | 2542554071 |
| Fax Number: | |
| NPI Enumeration Date: | 01/06/2014 |
| NPI Last Update Date: | 01/06/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 25535 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |