Organization
FBC DENTAL MISSION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANNIE GEORGE BENJAMIN II DDS (DENTIST)
(704) 825-9635
Entity
Organization
Contact information
Practice address
203 S MAIN ST, BELMONT, NC 28012-3831
(704) 825-9635
Mailing address
23 N CENTRAL AVE, BELMONT, NC 28012-3633
(704) 825-9635
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3867
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89011PU
—
NC
Enumeration date
10/29/2007
Last updated
10/31/2007
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