Individual
BENJAMIN S BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1801 AVENUE N APT 1A, BROOKLYN, NY 11230-6184
(718) 339-7400
(718) 339-6503
Mailing address
1801 AVENUE N APT 1A, BROOKLYN, NY 11230-6184
(718) 339-7400
(718) 339-6503
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
34495
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034495
—
NY
Enumeration date
07/19/2007
Last updated
07/19/2007
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