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Individual

BENJAMIN MORGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
375 MUNICIPAL DR, SUITE 104, RICHARDSON, TX 75080-3559
(972) 669-3663
Mailing address
9111 FOREST HILLS BLVD, DALLAS, TX 75218-4006

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
27091
TX
1223P0221X
Pediatric Dentistry
27091
TX
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/07/2011
Last updated
07/03/2013
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