Provider Demographics
NPI:1851645865
Name:BABIC, SONJA (DDS)
Entity Type:Individual
Prefix:DR
First Name:SONJA
Middle Name:
Last Name:BABIC
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15511 STATE HIGHWAY 71 WEST
Mailing Address - Street 2:SUITE # 120
Mailing Address - City:BEE CAVE
Mailing Address - State:TX
Mailing Address - Zip Code:78738-5617
Mailing Address - Country:US
Mailing Address - Phone:512-540-4644
Mailing Address - Fax:512-540-4655
Practice Address - Street 1:5500 LIONS GATE LN
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76549-5617
Practice Address - Country:US
Practice Address - Phone:469-235-9577
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-30
Last Update Date:2018-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX28524122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist