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Individual

DR. BENJAMIN D MCDOWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
200 W FRONTIER ST, SUITE 5, PAYSON, AZ 85541-5362
(928) 472-7223
(928) 474-6699
Mailing address
200 W FRONTIER ST, SUITE 5, PAYSON, AZ 85541-5362
(928) 472-7223
(928) 474-6699

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
10502
CO
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D008610
AZ

Other

Enumeration date
06/24/2009
Last updated
02/26/2013
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