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Individual

DR. CHISTINE K BENINGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
1420 W MOCKINGBIRD LN, SUITE 500, DALLAS, TX 75247-4931
(214) 630-7078
(214) 630-7085
Mailing address
1420 W MOCKINGBIRD LN, SUITE 500, DALLAS, TX 75247-4931
(214) 630-7078
(214) 630-7085

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13720
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13720
CHIP NUMBER
TX
05
160769901
TX
Enumeration date
08/18/2008
Last updated
08/18/2008
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