Individual
DR. BENJAMIN CHARLES HEFFTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
N168W20060 MAIN ST, JACKSON, WI 53037-9380
(262) 677-3003
Mailing address
2640 N 83RD ST, WAUWATOSA, WI 53213-1029
(630) 908-0745
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1001319-15
WI
Other
Enumeration date
05/03/2016
Last updated
07/17/2019
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