Individual
DR. BENJAMIN JOHN FRAVEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
1200 CRESTVIEW DR, SUITE 3, HUDSON, WI 54016-9366
(715) 386-8070
(715) 386-8958
Mailing address
1200 CRESTVIEW DR, SUITE 3, HUDSON, WI 54016-9366
(715) 386-8070
(715) 386-8958
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
6081-015
WI
1223E0200X
Endodontics
D11471
MN
Other
Enumeration date
02/06/2006
Last updated
03/24/2008
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