Individual
CHRISTOPHER BENINATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10928 TRINITY PKWY, STOCKTON, CA 95219-7230
(603) 475-5228
Mailing address
2280 RESERVE DR, BRENTWOOD, CA 94513-4274
(603) 475-5228
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
103850
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DN1857902
MA
Other
Enumeration date
03/29/2016
Last updated
09/09/2020
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