BENJAMIN GRAHAM BACON

VANDENBERG AFB, CA
NPI1710476924
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: UT  10867252-9921)
Enumeration Date2018-05-02
Last Update Date2019-07-24
Business Address
BENJAMIN GRAHAM BACON DDS
338 S DAKOTA AVE BLDG 13850
VANDENBERG AFB, CA 93437-6307
Phone number: 361-815-9929
Mailing Address
BENJAMIN GRAHAM BACON DDS
338 S DAKOTA AVE BLDG 13850
VANDENBERG AFB, CA 93437-6307
Phone number:
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