Individual
ERIKA BENAVIDES
Active
Individual
ERIKA BENAVIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901019501
MI
1223X0008X
Oral and Maxillofacial Radiology Dentistry
Primary
2901019501
MI
Other
Enumeration date
04/09/2007
Last updated
03/14/2014
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