| Bruce C. Benedictson, D.D.S. PA | |
|
222 Oakridge Blvd Suite A Daytona Beach FL 32118-4030 | |
| (386) 253-1272 | |
| Not Available |
| Full Name | Bruce C. Benedictson, D.D.S. PA |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 222 Oakridge Blvd, Daytona Beach, Florida |
| Authorized Official Name and Position | Bruce Christian Benedictson (OWNER) |
| Authorized Official Contact | 3862531272 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce C. Benedictson, D.D.S. PA 222 Oakridge Blvd Suite A Daytona Beach FL 32118-4030 Ph: (386) 253-1272 | Bruce C. Benedictson, D.D.S. PA 222 Oakridge Blvd Suite A Daytona Beach FL 32118-4030 Ph: (386) 253-1272 |
| NPI Number | 1487832341 |
|---|---|
| Provider Enumeration Date | 02/03/2008 |
| Last Update Date | 02/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487832341 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 7660 (Florida) | Primary |
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