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1710476924
BENJAMIN GRAHAM BACON
VANDENBERG AFB, CA
NPI
1710476924
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: UT 10867252-9921)
Enumeration Date
2018-05-02
Last Update Date
2019-07-24
Business Address
BENJAMIN GRAHAM BACON DDS
338 S DAKOTA AVE BLDG 13850
VANDENBERG AFB, CA 93437-6307
Phone number: 361-815-9929
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Mailing Address
BENJAMIN GRAHAM BACON DDS
338 S DAKOTA AVE BLDG 13850
VANDENBERG AFB, CA 93437-6307
Phone number:
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