Individual
DR. BRIAN DOUGLAS BENJAMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2123 AVENIDA ESPADA, SAN CLEMENTE, CA 92673-5608
(714) 478-9849
Mailing address
2123 AVENIDA ESPADA, SAN CLEMENTE, CA 92673-5608
(714) 478-9849
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
24215
CA
Other
Enumeration date
04/12/2007
Last updated
06/30/2009
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