Individual
DR. BENJAMIN MENLOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4202 AVENUE Q, LUBBOCK, TX 79412-1708
(801) 448-2346
Mailing address
4202 AVE Q, LUBBOCK, TX 79412-3174
(806) 507-7777
(806) 507-3037
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
38058
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38058
DENTAL LICENSE
TX
Enumeration date
12/28/2006
Last updated
02/18/2025
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