Individual
DR. BEN JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3425 S KING DR, CHICAGO, IL 60616-4108
(312) 313-9777
Mailing address
200 N JEFFERSON ST APT 909, CHICAGO, IL 60661-1263
(937) 901-1787
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.033064
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/10/2021
Last updated
06/21/2021
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