Individual
DR. BENJAMIN ROBERT SQUIRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3308 KIMBALL AVE, WATERLOO, IA 50702-5758
(319) 233-6177
Mailing address
3308 KIMBALL AVE, WATERLOO, IA 50702-5758
(319) 233-6177
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
08553
IA
Other
Enumeration date
06/23/2008
Last updated
06/23/2008
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