Individual
DR. BRECK LAYNE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
555 MANCO ROAD, SUITE A, LEWISVILLE, TX 75067
(972) 436-1215
(972) 436-3557
Mailing address
555 MANCO ROAD, SUITE A, LEWISVILLE, TX 75067
(972) 436-1215
(972) 436-3557
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18880
TX
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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