Individual
DR. MICHAEL S BEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
161 N 2ND ST, FAIRFAX, OK 74637-2063
(918) 642-3400
(918) 642-3370
Mailing address
161 N 2ND ST, FAIRFAX, OK 74637-2063
(918) 642-3400
(918) 642-3370
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
OK4341
OK
Other
Enumeration date
08/21/2006
Last updated
03/10/2008
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