Dr. Brian Douglas Benjamin, D.D.S.
Dentist, General Practice in San Clemente, CA. Individual provider (NPI-1).
NPI number1356565477
StatusActive
Last updated in NPPESJun 30, 2009
Details
- NPI
- 1356565477
- Entity type
- Individual (NPI-1)
- Name
- Dr. Brian Douglas Benjamin
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 12, 2007
- Last updated
- Jun 30, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 24215 | CA | Yes |
Practice location
2123 Avenida EspadaSan Clemente, CA 92673-5608
Phone 714-478-9849
Mailing address
2123 Avenida EspadaSan Clemente, CA 92673-5608
Phone 714-478-9849
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