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Individual
DR. YESELL CANDELARIO BENITEZ
Active
Individual
DR. YESELL CANDELARIO BENITEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
30025552
OH
1223G0001X
General Practice Dentistry
Primary
DN23625
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30025552
OHIO DENTAL LICENSE
OH
01
—
DN23625
FLORIDA DENTAL LICENSE
FL
Enumeration date
05/13/2016
Last updated
11/13/2018
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