Virgil Benjamin Dmd INC.
Dentist, General Practice in Temecula, CA. Organization (NPI-2).
NPI number1528190881
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1528190881
- Entity type
- Organization (NPI-2)
- Legal business name
- Virgil Benjamin Dmd INC.
- Organization subpart
- No
- Enumeration date
- Mar 12, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 50729 | CA | Yes |
Practice location
32605 Highway 79 South213
Temecula, CA 92592
Phone 951-302-8515 · Fax 951-302-8057
Mailing address
32605 Highway 79 South213
Temecula, CA 92592
Phone 951-302-8515 · Fax 951-302-8057
Authorized official
Virgil Benjamin
Dentist
9513028515
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