| Downtown Dental Benica | |
| 
					172 East D Street Benicia CA 94510  | |
| (707) 745-3820 | |
| Not Available | 
| Full Name | Downtown Dental Benica | 
|---|---|
| Speciality | Clinic/center - Dental | 
| Location | 172 East D Street, Benicia, California | 
| Authorized Official Name and Position | Jack Allen Elder (PRESIDENT) | 
| Authorized Official Contact | 7077453820 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Downtown Dental Benica 172 East D Street Benicia CA 94510 Ph: (707) 745-3820  | Downtown Dental Benica 172 East D Street Benicia CA 94510 Ph: (707) 745-3820  | 
| NPI Number | 1437380300 | 
|---|---|
| Provider Enumeration Date | 07/27/2009 | 
| Last Update Date | 07/27/2009 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1437380300 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary | 
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