Organization
NEAL R. BENHAM D.D.S.,S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHELLEY M ENGEDAL (OFFICE MGR.)
(715) 835-7172
Entity
Organization
Contact information
Practice address
3131 STEIN BLVD, EAU CLAIRE, WI 54701-6997
(715) 835-7172
(715) 835-5841
Mailing address
3131 STEIN BLVD, EAU CLAIRE, WI 54701-6997
(715) 835-7172
(715) 835-5841
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
10/05/2010
Last updated
10/05/2010
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