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1417067943
BENJAMIN JOSEPH GANTT
JBSA LACKLAND, TX
NPI
1417067943
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: SC 4133)
Enumeration Date
2006-08-30
Last Update Date
2021-07-20
Business Address
Dr. BENJAMIN JOSEPH GANTT DMD
1615 TRUEMPER ST BLDG 6418
JBSA LACKLAND, TX 78236-5511
Phone number: 210-292-0771
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Mailing Address
Dr. BENJAMIN JOSEPH GANTT DMD
1615 TRUEMPER ST BLDG 6418
JBSA LACKLAND, TX 78236-5511
Phone number: 210-292-0771
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