DR. Jaclyn Benish
NPI #1942347604 in Lake Mills, Wisconsin
Provider Information
- NPI Number
- 1942347604
- Entity Type
- Individual
- Name
- DR. Jaclyn Benish
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 31, 2007
- Last Updated
- Jun 15, 2009
Practice Location
- Address
- 311 E TYRANENA PARK RD
- City
- Lake Mills
- State
- Wisconsin
- ZIP Code
- 53551-9681
- Phone
- (920) 648-2331
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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