Individual
DR. JOHN BENJAMIN SYNHORST II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
116 E 11TH ST, STE 201, SPENCER, IA 51301-4363
(712) 262-7350
(712) 262-7351
Mailing address
116 E 11TH ST, STE 201, SPENCER, IA 51301-4363
(712) 262-7350
(712) 262-7351
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
05999
IA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
D9749
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0138928
—
IA
05
—
080020100
—
MN
Enumeration date
06/15/2005
Last updated
11/24/2009
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