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Individual

DR. STEVEN D BENDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
3302 GASTON AVE, 169, DALLAS, TX 75246-2013
(214) 828-8432
(214) 874-4504
Mailing address
3302 GASTON AVE, 169, DALLAS, TX 75246-2013
(214) 828-8432
(214) 874-4504

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
15227
TX
1223X2210X
Orofacial Pain Dentistry
Primary
15227
TX
208VP0000X
Pain Medicine Physician
15227
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1548263502
74-2907553
TX
Enumeration date
05/24/2005
Last updated
10/01/2019
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