# AB1, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Old Betsy Dental of Keene
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720744287
- **Authorized official:** BROCK BENNION DDS (CO-OWNER/DENTIST)
- **Authorized official phone:** (801) 227-9234

## Contact information

- **Practice address:** 104 S OLD BETSY RD, KEENE, TX 76059-2425
- **Practice address phone:** (817) 641-2272
- **Mailing address:** 104 S OLD BETSY RD, KEENE, TX 76059-2425
- **Mailing address phone:** (817) 641-2272

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/09/2021
- **Last updated:** 11/09/2021