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Individual
DR. BENJAMIN JAMES LAGO
Active
Individual
DR. BENJAMIN JAMES LAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2901019673
MI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
9129
SC
Other
Enumeration date
05/29/2008
Last updated
04/18/2025
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