Benjamin Koren, D.d.s. Iii. P.a,

NPI 1336170042 - Dentist - 122300000X

NPI Details
NPI 1336170042
Enumeration Date 07/05/2006
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name BENJAMIN VICTOR BENJAMIN
Position OWNER
Phone (919) 528-4004
Fax (919) 528-2211
Practice Location
110 W CHURCH ST
CREEDMOOR NC, 27522-9747, US
Phone (919) 528-4004
Fax (919) 528-2211
Business Location
110 W CHURCH ST
CREEDMOOR NC, 27522-9747, US
Phone (919) 528-4004
Fax (919) 528-2211
Toxanomy
Taxonomy Code 122300000X
License State North Carolina
License Number 6997
Remove 1336170042 NPI Number
 

According to our database, Benjamin Koren, D.d.s. Iii. P.a, NPI is 1336170042, taxonomy code is 122300000X and license number is 6997, license state is located at North Carolina. Benjamin Koren, D.d.s. Iii. P.a, physically located at 110 W Church St, Creedmoor NC, 27522-9747. NPI Number 1033115704 has the healthcare provider type.

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1336170042 NPI number is provided on an as is basis without warranty of any kind. 1336170042 is maintained by the National Plan & Provider Enumeration System. The contents of Benjamin Koren, D.d.s. Iii. P.a, are for informational purposes only.