Organization
JOHN J. BENINATO, D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN J. BENINATO D.D.S. (PRESIDENT/OWNER)
(706) 234-0718
Entity
Organization
Contact information
Practice address
21 JOHN MADDOX DR NW, SUITE B, ROME, GA 30165-1413
(706) 234-0718
Mailing address
21 JOHN MADDOX DR NW, SUITE B, ROME, GA 30165-1413
(706) 234-0718
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
10834
GA
Other
Enumeration date
08/18/2006
Last updated
01/25/2008
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