| 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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