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Individual

DR. BENJAMIN ZIKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1103 3RD ST, TILLAMOOK, OR 97141
(503) 842-6666
(503) 842-1366
Mailing address
1103 3RD ST, TILLAMOOK, OR 97141-3402
(503) 842-6666
(503) 842-1366

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
6965
NV
1223G0001X
General Practice Dentistry
Primary
D10770
OR

Other

Enumeration date
08/02/2017
Last updated
07/21/2022
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