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Organization
AB1, PLLC
Active
Organization
AB1, PLLC
Active
Other names
Old Betsy Dental of Keene
Organization subpart
No
Provider details
NPI number
Authorized official
BROCK BENNION DDS (CO-OWNER/DENTIST)
(801) 227-9234
Entity
Organization
Contact information
Practice address
104 S OLD BETSY RD, KEENE, TX 76059-2425
(817) 641-2272
Mailing address
104 S OLD BETSY RD, KEENE, TX 76059-2425
(817) 641-2272
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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