Individual
DR. ERIC MICHAEL BENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
17746 KENWOOD TRL, LAKEVILLE, MN 55044-9454
(952) 388-1778
(952) 388-1763
Mailing address
17746 KENWOOD TRL, LAKEVILLE, MN 55044-9454
(952) 388-1778
(952) 388-1763
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D14847
MN
1223G0001X
General Practice Dentistry
DN26108
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D14847
MINNESOTA DENTAL LICENSE
MN
01
—
DN26108
FLORIDA DENTAL LICENSE
FL
Enumeration date
06/22/2021
Last updated
09/13/2023
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