DR. Benjamin Earl Dewaal, D.D.S.

NPI #1801182704 in Potosi, Missouri

Provider Information

NPI Number
1801182704
Entity Type
Individual
Name
DR. Benjamin Earl Dewaal, D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Jun 20, 2011
Last Updated
Jun 20, 2011

Practice Location

Address
1 SOUTHTOWNE DR
City
Potosi
ZIP Code
63664-5729
Phone
(573) 438-8401

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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