Brennan Joseph Benson

NPI #1144897976 in Tyler, Texas

Provider Information

NPI Number: 1144897976
Entity Type: Individual
Name: Brennan Joseph Benson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 9, 2021
Last Updated: Jun 9, 2021

Practice Location

Address: 8942 S BROADWAY AVE # 128
City: Tyler
State: Texas
ZIP Code: 75703-5443
Phone: (903) 405-1552

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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