Individual
DR. PETER JASON BENISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
187 MILLBURN AVE, SUITE #1, MILLBURN, NJ 07041-1847
(973) 376-2700
Mailing address
187 MILLBURN AVE, SUITE #1, MILLBURN, NJ 07041-1847
(973) 376-2700
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02164000
NJ
Other
Enumeration date
11/03/2006
Last updated
07/08/2007
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