Individual
DR. ANGEL J BENMAMAN MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5445 AIRPORT PULLING RD N, NAPLES, FL 34109-2044
(239) 597-7032
Mailing address
5445 AIRPORT PULLING RD, COAST DENTAL GOLDEN GATE, NAPLES, FL 34109
(239) 597-7032
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
1850
PR
1223G0001X
General Practice Dentistry
Primary
DN20530
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1370269
DRIVER LICENSE
PR
Enumeration date
08/09/2006
Last updated
06/23/2021
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