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Individual

BENJAMIN SCROGGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
104 S OLD BETSY RD, KEENE, TX 76059-2425
(817) 641-2272
Mailing address
1203 KRISTA DR, BURLESON, TX 76028-8611
(971) 712-4830

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
39958
TX

Other

Enumeration date
08/22/2023
Last updated
08/22/2023
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