Individual
BENJAMIN HARVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3302 GASTON AVE, DALLAS, TX 75246-2013
(214) 828-8121
Mailing address
3302 GASTON AVE, DALLAS, TX 75246-2013
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
11866392-9921
UT
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
36646
TX
Other
Enumeration date
03/14/2023
Last updated
04/05/2023
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