DR. Benjamin Bennett Waites, DMD

NPI #1427619238 in Lewiston, Idaho

Provider Information

NPI Number
1427619238
Entity Type
Individual
Name
DR. Benjamin Bennett Waites, DMD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DMD
Enumeration Date
Jun 23, 2019
Last Updated
Sep 22, 2021

Practice Location

Address
937 BRYDEN AVE
State
Idaho
ZIP Code
83507
Phone
(208) 746-2668

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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