Individual
BENJAMIN WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
222 TONGASS DR., SEARHC - DENTAL DEPARTMENT, SITKA, AK 99835-1901
(907) 966-8343
Mailing address
PO BOX 1901, SITKA, AK 99835-1901
(907) 966-8343
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3844
WV
1223G0001X
General Practice Dentistry
9475
MA
Other
Enumeration date
08/09/2007
Last updated
11/09/2009
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