Individual
BENJAMIN FREDRIC COREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDHAP
Contact information
Practice address
737 E 8TH ST, LONG BEACH, CA 90813-4607
(626) 755-0003
(562) 491-4999
Mailing address
737 E 8TH ST, LONG BEACH, CA 90813-4607
(626) 755-0003
(562) 491-4999
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
HAP 358
CA
Other
Enumeration date
07/16/2011
Last updated
07/16/2011
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