Individual
DR. SALVATORE MARC DIBENEDETTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3398 DAYTON XENIA RD, BEAVERCREEK, OH 45432-2747
(937) 429-1761
(937) 426-4986
Mailing address
3398 DAYTON XENIA RD, BEAVERCREEK, OH 45432-2747
(937) 429-1761
(937) 426-4986
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
017781
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017781
DENTAL LICENSE
OH
Enumeration date
04/26/2007
Last updated
03/07/2023
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