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1578661237
KEITH VANBENTHUYSEN
BRENTWOOD, TN
NPI
1578661237
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: TN DN0009749)
Enumeration Date
2006-09-20
Last Update Date
2007-07-08
Business Address
KEITH VANBENTHUYSEN
330 FRANKLIN RD SUITE 230-B
BRENTWOOD, TN 37027-3280
Phone number: 615-661-7866
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Mailing Address
KEITH VANBENTHUYSEN
2502 N ROCKY POINT DR SUTIE 1000-CREDENTIALING
TAMPA, FL 33607-1421
Phone number:
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