Organization
MARK T BENTLEY DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA KAY BENTLEY (OFFICE COORDINATOR)
(937) 773-3867
Entity
Organization
Contact information
Practice address
1523 N MARKET ST, TROY, OH 45373-9767
(937) 335-4630
(937) 335-5174
Mailing address
2170 SNYDER RD, PIQUA, OH 45356-9538
(937) 773-3867
(937) 773-6660
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30014528
OH
Other
Enumeration date
12/06/2006
Last updated
08/09/2010
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