KEITH VANBENTHUYSEN

BRENTWOOD, TN
NPI1578661237
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: TN  DN0009749)
Enumeration Date2006-09-20
Last Update Date2007-07-08
Business Address
KEITH VANBENTHUYSEN
330 FRANKLIN RD SUITE 230-B
BRENTWOOD, TN 37027-3280
Phone number: 615-661-7866
Mailing Address
KEITH VANBENTHUYSEN
2502 N ROCKY POINT DR SUTIE 1000-CREDENTIALING
TAMPA, FL 33607-1421
Phone number: