Individual
DR. BENJAMIN DONNELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4433 NAAMAN FOREST BLVD, GARLAND, TX 75040-2722
(214) 734-5883
Mailing address
1512 COMMERCE ST APT 1414, DALLAS, TX 75201-4916
(214) 734-5883
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
35183
TX
Other
Enumeration date
07/01/2019
Last updated
07/01/2019
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