Individual
MATTHEW BENOIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2429 ELLSWORTH RD, YPSILANTI, MI 48197-4853
(734) 434-0043
Mailing address
350 N CLARK ST, STE 600, CHICAGO, IL 60654-4712
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901021944
MI
Other
Enumeration date
05/19/2016
Last updated
06/14/2016
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