Individual
DR. BENJAMIN JARED GUBERNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
2700 E BAY DR, LARGO, FL 33771-2468
(727) 536-3400
Mailing address
2700 E BAY DR, LARGO, FL 33771-2468
(727) 536-3400
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/26/2015
Last updated
09/26/2016
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