Individual
PAUL BENEDETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LDO
Contact information
Practice address
8050 E SUGARLOAF CIR, MESA, AZ 85207-1485
(480) 259-3306
Mailing address
8050 E SUGARLOAF CIR, MESA, AZ 85207-1485
(480) 259-3306
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
534I
AZ
Other
Enumeration date
07/23/2010
Last updated
07/23/2010
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