Individual
BRIAN W BENEDICT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
110-B NORTH STATE ROAD 267, AVON, IN 46123-8475
(317) 272-7206
(317) 272-8206
Mailing address
110-B NORTH STATE ROAD 267, AVON, IN 46123-8475
(317) 272-7206
(317) 272-8206
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12010343A
IN
Other
Enumeration date
12/04/2006
Last updated
05/15/2008
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