Individual
DR. JERRY M BENIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6465 E BROAD ST, SUITE C, COLUMBUS, OH 43213-1576
(614) 868-0808
Mailing address
6160 STONEWALK LN, NEW ALBANY, OH 43054-7084
(614) 939-9611
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13794
OH
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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