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Organization
MENLOVE DENTAL, PLLC
Active
Organization
MENLOVE DENTAL, PLLC
Active
Other names
FAMILY CAMP DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN ROY MENLOVE DDS (PRESIDENT)
(806) 507-7777
Entity
Organization
Contact information
Practice address
4202 AVENUE Q, LUBBOCK, TX 79412-1708
(806) 507-7777
(806) 507-3037
Mailing address
4202 AVE Q, LUBBOCK, TX 79412-3387
(806) 507-7777
(806) 507-3037
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38058
DENTAL LICENSE
TX
Enumeration date
03/01/2022
Last updated
02/18/2025
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