Individual
NICOLAS BENAVIDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3517 CLEMSON BLVD, ANDERSON, SC 29621-1312
(864) 932-4147
(864) 226-2728
Mailing address
2700 SUNSET BLVD, STEUBENVILLE, OH 43952-1158
(740) 264-6811
(740) 264-6812
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
30.025188
OH
1223G0001X
General Practice Dentistry
Primary
9134
SC
Other
Enumeration date
07/10/2017
Last updated
08/15/2022
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