Downtown Dental Benica
NPI #1437380300 in Benicia, California
Provider Information
- NPI Number
- 1437380300
- Entity Type
- Organization
- Organization Name
- Downtown Dental Benica
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jul 27, 2009
- Last Updated
- Jul 27, 2009
Practice Location
- Address
- 172 EAST D STREET
- City
- Benicia
- State
- California
- ZIP Code
- 94510
- Phone
- (707) 745-3820
Authorized Official
- Name
- DR. JACK ALLEN ELDER, D.D.S.
- Title
- PRESIDENT
- Phone
- (707) 745-3820
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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