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Individual
BENJAMIN MORGAN
Active
Individual
BENJAMIN MORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
27091
TX
1223P0221X
Pediatric Dentistry
27091
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/07/2011
Last updated
07/03/2013
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