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Individual

BENJAMIN SHERIDAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
412 EDISON ST, BRUSH, CO 80723-2130
(970) 842-0220
(970) 842-0224
Mailing address
PO BOX 563, BRUSH, CO 80723-0563
(970) 842-0220
(709) 842-0224

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
00204725
CO

Other

Enumeration date
08/12/2021
Last updated
08/02/2023
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