DR. Mark Benavides, DDS

NPI #1801233606 in Ottawa, Illinois

Provider Information

NPI Number: 1801233606
Entity Type: Individual
Name: DR. Mark Benavides, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jun 3, 2013
Last Updated: Dec 17, 2013

Practice Location

Address: 1703 POLARIS CIR
Address 2: SUITE 3
City: Ottawa
State: Illinois
ZIP Code: 61350-1683
Phone: (815) 434-0152

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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