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Organization

DFW ORTHODONTIC ASSOCIATES PA

Active
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Organization

DFW ORTHODONTIC ASSOCIATES PA

Active
Other names
Gainesville Orthodontics
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ADAM WELLS BENHAM DDS (PART OWNER)
(469) 231-6672
Entity
Organization

Contact information

Practice address
840A E MAIN ST, GAINESVILLE, TX 76240-4907
(940) 612-0726
Mailing address
840A E MAIN ST, GAINESVILLE, TX 76240-4907
(940) 612-0726

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
22263
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22263
TX

Other

Enumeration date
04/10/2009
Last updated
04/10/2009
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