Individual
DR. BENJAMIN ANDREW KORDUSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
8415 ELK GROVE BLVD BLDG B, ELK GROVE, CA 95758-9573
(916) 755-6213
(916) 755-6214
Mailing address
45 FAIRFIELD MNR, MORGANTOWN, WV 26505-8011
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
106157
CA
1223P0700X
Prosthodontics
4269
WV
Other
Enumeration date
06/13/2017
Last updated
06/28/2022
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