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Organization
BRUCE P. BENIFIEL, D.D.S., P.C.
Active
Organization
BRUCE P. BENIFIEL, D.D.S., P.C.
Active
Other names
Benifiel Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE PHILIP BENIFIEL D.D.S. (PRESIDENT)
(574) 277-7733
Entity
Organization
Contact information
Practice address
925 E UNIVERSITY DR, GRANGER, IN 46530-4465
(574) 277-7733
(574) 277-8436
Mailing address
925 E UNIVERSITY DR, GRANGER, IN 46530-4465
(574) 277-7733
(574) 277-8436
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12008886
IN
Other
Enumeration date
10/01/2006
Last updated
08/22/2020
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