Individual
DR. ADAM W BENHAM
Active
Individual
DR. ADAM W BENHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
22263
TX
1223G0001X
General Practice Dentistry
22263
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22263
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
189795101
—
TX
Enumeration date
08/06/2007
Last updated
04/11/2009
Update your record
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