Individual
DR. ROBERT JOHN BENKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3705 W 12TH ST STE 3C, GREELEY, CO 80634-2550
(970) 356-2120
(970) 356-1013
Mailing address
3705 W 12TH ST STE 3C, GREELEY, CO 80634-2550
(970) 356-2120
(970) 356-1013
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
105253
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02052538
—
CO
05
—
19753543
—
CO
Enumeration date
05/24/2005
Last updated
03/17/2018
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