Individual
CRAIG C. BENBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2267 NW PETTYGROVE ST, PORTLAND, OR 97210-2760
(503) 224-6317
(503) 226-2224
Mailing address
2267 NW PETTYGROVE ST, PORTLAND, OR 97210-2760
(503) 224-6317
(503) 226-2224
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5800
OR
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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