Individual
MR. BRENT BENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.P.
Contact information
Practice address
6001 TELEGRAPH AVE, OAKLAND, CA 94609-1310
(510) 658-2062
(510) 658-7779
Mailing address
6001 TELEGRAPH AVE, OAKLAND, CA 94609-1310
(510) 658-2062
(510) 658-7779
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
07/24/2013
Last updated
07/24/2013
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