Individual
DR. BENJAMIN MITHRANDIR MAGLEBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
142 PLOW POINT LN, JACKSONVILLE, NC 28546-9591
(650) 305-9922
Mailing address
142 PLOW POINT LN, JACKSONVILLE, NC 28546-9591
(650) 305-9922
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
53828
CA
Other
Enumeration date
01/23/2006
Last updated
05/19/2008
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