Individual
JOHANNA P BENINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2111 CHAMPA ST, DENVER, CO 80205-2529
(303) 291-5165
Mailing address
2111 CHAMPA ST, DENVER, CO 80205-2529
(303) 285-5205
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6761
CO
Other
Enumeration date
07/18/2006
Last updated
04/13/2012
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