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Individual

BENJAMIN ANDREW MCKINLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
26425 LAKELAND AVE S, WEBSTER, WI 54893-8343
(715) 866-4420
(715) 866-4368
Mailing address
235 E STATE ST, SAINT CROIX FALLS, WI 54024-4117
(715) 483-3221
(715) 483-0507

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
D12788
MN
1223G0001X
General Practice Dentistry
Primary
1002054
WI

Other

Enumeration date
07/01/2010
Last updated
12/13/2023
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