Individual
DR. BENJAMIN JOSEPH GANTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1615 TRUEMPER ST BLDG 6418, JBSA LACKLAND, TX 78236-5511
(210) 292-0771
Mailing address
1615 TRUEMPER ST BLDG 6418, JBSA LACKLAND, TX 78236-5511
(210) 292-0771
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4133
SC
Other
Enumeration date
08/30/2006
Last updated
07/20/2021
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