Individual
THOMAS E BENJAMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2620 JACKSON BLVD STE B, RAPID CITY, SD 57702-3478
(605) 348-1712
Mailing address
2620 JACKSON BLVD STE B, RAPID CITY, SD 57702-3478
(605) 348-1712
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D0620
SD
Other
Enumeration date
04/16/2007
Last updated
08/15/2024
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