Individual
DR. MICHAEL A BENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
217 N MCLEAN BLVD, ELGIN, IL 60123-3270
(847) 888-4333
(847) 289-6572
Mailing address
217 N MCLEAN BLVD, ELGIN, IL 60123-3270
(847) 888-4333
(847) 289-6572
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19A-16095
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
363237627
TAX IDENTIFICATION NUMBER
IL
Enumeration date
04/24/2007
Last updated
07/08/2007
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