Organization
THOMAS ERICK BENJAMIN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS BENJAMIN DDS (SHAREHOLDER)
(605) 348-1712
Entity
Organization
Contact information
Practice address
2620 JACKSON BLVD, STE B, RAPID CITY, SD 57702
(605) 593-0037
(605) 593-8351
Mailing address
2620 JACKSON BLVD STE B, RAPID CITY, SD 57702-3478
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/22/2024
Last updated
08/28/2024
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