Individual
MR. MICHAEL GEORGE BENAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1518 WASHINGTON STREET, NEW CASTLE, IN 47362-4355
(765) 521-0336
(765) 521-0337
Mailing address
1518 WASHINGTON STREET, NEW CASTLE, IN 47362-4355
(765) 521-0336
(765) 521-0337
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12008994
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
575315
UN CONCORDIA
—
Enumeration date
11/14/2006
Last updated
07/08/2007
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