Individual provider · NPI-1

Dr. Theodore Benaderet, DDS

Dentist, Orthodontics and Dentofacial Orthopedics · Westminster, CA

NPI number1124194394
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1124194394
Entity type
Individual (NPI-1)
Name
Dr. Theodore Benaderet
Credential
DDS
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 28, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics18786CAYes

Other names

  • Ted Benaderet (Other Name)

Practice location

9900 Mcfadden Ave Ste 201
Westminster, CA 92683-6978

Phone 714-531-2513 · Fax 714-531-1603

Mailing address

9900 Mcfadden Ave Ste 201
Westminster, CA 92683-6978

Phone 714-531-2513 · Fax 714-531-1603

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