Individual
DR. BENJAMIN PAUL CHALOM BARANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5225 N 19TH AVE STE C, PHOENIX, AZ 85015-2903
(602) 433-0313
Mailing address
7430 E CHAPARRAL RD UNIT 239A, SCOTTSDALE, AZ 85250-7169
(805) 452-8584
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D010486
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D010486
—
AZ
Enumeration date
09/05/2019
Last updated
09/06/2019
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