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Organization
BENJAMIN N. DILLER, DDS, PA
Active
Organization
BENJAMIN N. DILLER, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN N DILLER DDS (PRESIDENT)
(419) 509-6865
Entity
Organization
Contact information
Practice address
1200 S 14TH ST, FERNANDINA BEACH, FL 32034-3043
(904) 261-0851
(904) 261-5002
Mailing address
1200 S 14TH ST, FERNANDINA BEACH, FL 32034-3043
(904) 261-0851
(904) 261-5002
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN21074
FL
Other
Enumeration date
03/12/2015
Last updated
03/12/2015
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