Individual
DAWN BENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7810 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4138
(260) 436-7175
Mailing address
7810 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4138
(260) 436-7175
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12009930A
IN
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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