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Individual
BENJAMIN EDMUND JOEKEL
Active
Individual
BENJAMIN EDMUND JOEKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7546
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7546
DENTAL LICENSE
NE
Enumeration date
06/04/2019
Last updated
06/11/2019
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