Individual
DR. BENJAMIN CRAIG CORNWALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2799 W GRAND BLVD # K8, DETROIT, MI 48202-2689
(313) 916-0874
Mailing address
2799 W GRAND BLVD # K8, DETROIT, MI 48202-2689
(313) 916-0874
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901011788
MI
Other
Enumeration date
10/11/2006
Last updated
03/30/2021
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