Individual
DR. DYLAN JOSEPH THOMAS BENKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
9850 GENESEE AVE STE 620, LA JOLLA, CA 92037-1217
(858) 535-8300
Mailing address
9850 GENESEE AVE STE 620, LA JOLLA, CA 92037-1217
(858) 535-8300
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
106836
CA
Other
Enumeration date
08/13/2021
Last updated
07/28/2022
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