Individual
DR. NEAL R BENHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
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
5000850015
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38373400
WI MA
WI
Enumeration date
03/23/2007
Last updated
07/08/2007
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