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Organization

SEAN A. BENSON

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SEAN A BENSON (OWNER/DOCTOR)
(541) 523-2144
Entity
Organization

Contact information

Practice address
1831 1ST ST, BAKER CITY, OR 97814-3474
(541) 523-2144
Mailing address
1831 1ST ST, BAKER CITY, OR 97814-3474
(541) 523-2144

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7685
OR

Other

Enumeration date
05/24/2011
Last updated
05/24/2011
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