John Benjamin Avera D.D.S.

NPI 1043301609 - Dentist - 1223P0300X

NPI Details
NPI 1043301609
Gender Male
Enumeration Date 09/27/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
9059 SOQUEL DR
B
APTOS CA, 95003-4076, US
Phone (831) 688-1975
Fax
Business Location
9059 SOQUEL DR
B
APTOS CA, 95003-4076, US
Phone (831) 688-1975
Fax
Toxanomy
Taxonomy Code 1223P0300X
License State California
License Number 28900
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According to our database, Dr. John Benjamin Avera D.D.S. NPI is 1043301609, taxonomy code is 1223P0300X and license number is 28900, license state is located at California. John Benjamin Avera D.D.S. physically located at 9059 Soquel Dr, Aptos CA, 95003-4076. NPI Number John Benjamin Avera D.D.S. has the Individual type.

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1043301609 NPI number is provided on an as is basis without warranty of any kind. 1043301609 is maintained by the National Plan & Provider Enumeration System. The contents of John Benjamin Avera D.D.S. are for informational purposes only.