Individual
DR. GARY LYNN BENNICOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1305 TATAMY RD, EASTON, PA 18045-7474
(610) 252-2223
(610) 252-4099
Mailing address
1305 TATAMY RD, EASTON, PA 18045-7474
(610) 252-2223
(610) 252-4099
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS024212-L
PA
Other
Enumeration date
03/01/2007
Last updated
09/02/2008
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