Individual
DR. JOHN EDWARD BENISH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1089 KINKEAD AVE, NO TONAWANDA, NY 14120-2840
(716) 692-6893
(716) 692-6893
Mailing address
1089 KINKEAD AVE, NO TONAWANDA, NY 14120-2840
(716) 692-6893
(716) 692-6893
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0033346
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00623074
—
NY
Enumeration date
03/16/2006
Last updated
07/08/2007
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