NPI | 1851832836 |
---|---|
Other Name | BENTLEY DENTAL |
Entity Type | Organization |
Authorized Contact | MATTHEW R BENTLEY Owner/Dentist 817-923-9877 |
Organization Subpart ? | No |
Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: TX 23280) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 23280) |
Enumeration Date | 2017-03-10 |
Last Update Date | 2017-03-10 |