Individual
DR. CHASE ALAN BENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
14 E ELM ST, HAILEY, ID 83333-4928
(208) 788-0048
Mailing address
14 E ELM ST, HAILEY, ID 83333-4928
(208) 788-0048
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
112661329922
UT
1223G0001X
General Practice Dentistry
Primary
D-5240
ID
Other
Enumeration date
05/16/2019
Last updated
11/28/2023
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