Individual
DR. BRUCE PHILIP BENIFIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
925 E UNIVERSITY DR, GRANGER, IN 46530-4465
(574) 277-7733
(574) 277-8436
Mailing address
925 E UNIVERSITY DR, GRANGER, IN 46530-4465
(574) 277-7733
(574) 277-8436
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12008886
IN
Other
Enumeration date
10/01/2006
Last updated
07/08/2007
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