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Organization

CAMP & BENTLEY GENERAL DENTISTRY PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAN A. BENTLEY D.D.S. (PRESIDENT)
(979) 776-1838
Entity
Organization

Contact information

Practice address
2301 E VILLA MARIA RD, BRYAN, TX 77802-2550
(979) 776-1838
(979) 774-2808
Mailing address
2301 E VILLA MARIA RD, BRYAN, TX 77802-2550
(979) 776-1838
(979) 774-2808

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13303
TX
1223G0001X
General Practice Dentistry
25626
TX

Other

Enumeration date
01/06/2012
Last updated
01/06/2012
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