Individual
BENJAMIN KOPPEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
27180 NEWPORT RD STE 2, MENIFEE, CA 92584-7389
(760) 646-3315
Mailing address
490 MORAGA WAY, OCEANSIDE, CA 92058-7998
(760) 646-3315
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DDS106623
CA
Other
Enumeration date
05/05/2020
Last updated
07/29/2021
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