Individual
SHIVENDER BENIWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
130 WATER ST, FITCHBURG, MA 01420-5478
(978) 319-6614
Mailing address
130 WATER ST, FITCHBURG, MA 01420-5478
(978) 319-6614
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1857369
MA
Other
Enumeration date
07/29/2016
Last updated
07/29/2016
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