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Organization
TAHOKA DENTISTRY PLLC
Active
Organization
TAHOKA DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJAMIN ROY MENLOVE DDS (PRESIDENT)
(801) 448-2346
Entity
Organization
Contact information
Practice address
2428 LOCKWOOD STREET, TAHOKA, TX 79373
(806) 601-0333
(806) 601-0339
Mailing address
1310 ESSEX LANE, WOLFFORTH, TX 79382
(801) 448-2346
(806) 507-3037
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00185523
—
NM
05
—
440696902
—
TX
Enumeration date
02/14/2025
Last updated
02/14/2025
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