Individual
BENJAMIN JOSEPH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3706 BLANDING BLVD, JACKSONVILLE, FL 32210-5243
(904) 777-1477
(904) 777-5945
Mailing address
9000 GOLFSIDE DRIVE, SUITE B, JACKSONVILLE, FL 32256-7793
(904) 367-1722
(904) 367-1739
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN15036
FL
Other
Enumeration date
01/26/2007
Last updated
07/08/2007
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