Individual
BENJAMIN DALE HUNTER II
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
341 GRUNNION AVE, BRANCH DENTAL CLINIC, GROTON, CT 06349-5050
(860) 694-2377
(860) 694-2590
Mailing address
NAVAL AMBULATORY CARE CENTER, ROUTE 12, BLDG 449, ATTN: PROFESSIONAL AFFAIRS, GROTON, CT 06349-5600
(860) 694-2377
(860) 694-2590
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
15048
TX
Other
Enumeration date
02/24/2006
Last updated
07/08/2007
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