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Organization
BRUCE C. BENEDICTSON, D.D.S. PA
Active
Organization
BRUCE C. BENEDICTSON, D.D.S. PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE CHRISTIAN BENEDICTSON D.D.S. (OWNER)
(386) 253-1272
Entity
Organization
Contact information
Practice address
222 OAKRIDGE BLVD, SUITE A, DAYTONA BEACH, FL 32118-4030
(386) 253-1272
Mailing address
222 OAKRIDGE BLVD, SUITE A, DAYTONA BEACH, FL 32118-4030
(386) 253-1272
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
7660
FL
Other
Enumeration date
02/03/2008
Last updated
02/03/2008
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