Organization
MATTHEW R BENTLEY DMD PC
Active
Other names
Bentley Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW R BENTLEY D.M.D (OWNER/DENTIST)
(817) 923-9877
Entity
Organization
Contact information
Practice address
2517 8TH AVE, FORT WORTH, TX 76110-2538
(817) 923-9877
(817) 923-9854
Mailing address
2517 8TH AVE, FORT WORTH, TX 76110-2538
(817) 923-9877
(817) 923-9854
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
23280
TX
332BC3200X
Customized Equipment (DME)
Primary
23280
TX
Other
Enumeration date
03/10/2017
Last updated
03/10/2017
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