Mark Benavides D.d.s., P.c.

NPI #1235201344 in Ottawa, Illinois

Provider Information

NPI Number
1235201344
Entity Type
Organization
Organization Name
Mark Benavides D.d.s., P.c.
Primary Specialty
Dentist - General Practice
Enumeration Date
Nov 14, 2006
Last Updated
Dec 17, 2013

Practice Location

Address
1703 POLARIS CIR
City
Ottawa
ZIP Code
61350-1683
Phone
(815) 434-0152

Authorized Official

Name
MARK BENAVIDES, D.D.S.
Title
OWNER
Phone
(815) 434-0152

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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