Organization
BENAGE DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNEMARIE JOHNSON BENAGE DDS (PRESIDENT)
(817) 526-0777
Entity
Organization
Contact information
Practice address
604 AVENUE B, BALLINGER, TX 76821-2400
(325) 365-2583
(325) 365-9222
Mailing address
604 AVENUE B, BALLINGER, TX 76821-2400
(325) 365-2583
(325) 365-9222
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
27973
TX
Other
Enumeration date
05/19/2016
Last updated
05/19/2016
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