Organization
BRENNAN BENSON DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENNAN BENSON DDS (OWNER)
(682) 223-0337
Entity
Organization
Contact information
Practice address
13000 PARK VISTA BLVD, FORT WORTH, TX 76244
(682) 233-0337
Mailing address
8408 LA FONTAINE DR, NORTH RICHLAND HILLS, TX 76182-7457
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/21/2023
Last updated
07/21/2023
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