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Individual

DR. SUSAN GAIL BENAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
403 KENNEDY AVENUE, #3, GRAND JUNCTION, CO 81501
(970) 243-3299
Mailing address
403 KENNEDY AVENUE, #3, GRAND JUNCTION, CO 81501
(970) 243-3299

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
105692
CO

Other

Enumeration date
12/05/2006
Last updated
07/08/2007
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