Individual
BENJAMIN VAVRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
ELK RIVER FAMILY DENTISTRY, 303 MAIN ST NW, ELK RIVER, MN 55330
(734) 441-9181
Mailing address
JACOBI MEDICAL CENTER, 1400 PELHAM PARKWAY SOUTH, BRONX, NY 10461
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D14698
MN
Other
Enumeration date
02/24/2021
Last updated
04/22/2025
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