Individual
GREGORY BENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1969 W OGDEN AVE, CHICAGO, IL 60612-3765
(312) 864-0395
Mailing address
1969 W OGDEN AVE, CHICAGO, IL 60612-3765
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
1
IL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/04/2022
Last updated
05/04/2022
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