DR. Brian Douglas Benjamin, D.D.S.

NPI #1356565477 in San Clemente, California

Provider Information

NPI Number
1356565477
Entity Type
Individual
Name
DR. Brian Douglas Benjamin, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Apr 12, 2007
Last Updated
Jun 30, 2009

Practice Location

Address
2123 AVENIDA ESPADA
ZIP Code
92673-5608
Phone
(714) 478-9849

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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