Individual
DR. BENJAMIN CANIDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
904 E 1ST ST, MADISON, IN 47250-3623
(812) 265-2083
(812) 265-2177
Mailing address
904 E 1ST ST, MADISON, IN 47250-3623
(812) 265-2083
(812) 265-2177
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12010731
IN
Other
Enumeration date
11/04/2008
Last updated
11/04/2008
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