Individual
DR. MARK GEORGE BENEDICT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4235 SECOR RD, TOLEDO, OH 43623-4231
(419) 474-4858
Mailing address
4235 SECOR RD, TOLEDO, OH 43623-4231
(419) 474-4858
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15262
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01605
PARAMOUNT ADVANTAGE
OH
05
—
2262331
—
OH
Enumeration date
10/17/2006
Last updated
07/08/2007
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