Individual
DR. BENJAMIN PAUL AMATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4345 SAWKAW DR NE, GRAND RAPIDS, MI 49525-6217
(616) 364-4219
(616) 364-7965
Mailing address
4345 SAWKAW DR NE, GRAND RAPIDS, MI 49525-6517
(616) 364-4219
(616) 364-7965
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901013713
MI
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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