Individual
DR. EDWIN WRIDGE BENNION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
725 GOLF VIEW DR, MEDFORD, OR 97504-9643
(541) 779-7936
(541) 857-1212
Mailing address
725 GOLF VIEW DR, MEDFORD, OR 97504-9643
(541) 779-7936
(541) 857-1212
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D7305
OR
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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