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Organization
ROBERT BENESHAN, D.D.S. A PROFESSIONAL DENTAL CORPORATION
Active
Organization
ROBERT BENESHAN, D.D.S. A PROFESSIONAL DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT M BENESHAN DDS (PRESIDENT)
(831) 724-6337
Entity
Organization
Contact information
Practice address
24 ALEXANDER ST, WATSONVILLE, CA 95076-4609
(831) 724-6337
(831) 763-0616
Mailing address
24 ALEXANDER ST, WATSONVILLE, CA 95076-4609
(831) 724-6337
(831) 763-0616
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20815
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B20815-01
—
CA
Enumeration date
02/02/2012
Last updated
02/02/2012
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