Individual
BENJAMIN LEE CARRICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
95 MAIN ST, STRATTANVILLE, PA 16258-1903
(814) 980-4021
(814) 764-6173
Mailing address
95 MAIN ST, STRATTANVILLE, PA 16258-1903
(814) 980-4021
(814) 764-6173
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS036553
PA
Other
Enumeration date
03/27/2007
Last updated
05/02/2017
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