Mark A Benage, DDS

NPI #1205186525 in Jber, Alaska

Provider Information

NPI Number: 1205186525
Entity Type: Individual
Name: Mark A Benage, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Sep 13, 2012
Last Updated: Sep 13, 2012

Practice Location

Address: 5955 ZEAMER AVENUE
Address 2: 673D MDG
City: Jber
State: Alaska
ZIP Code: 99506-3700
Phone: (907) 580-5020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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