Individual
DR. BENJAMIN SYNDERGAARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S.
Contact information
Practice address
1675 VISTA LN, CARSON CITY, NV 89703-4640
(775) 882-3033
Mailing address
811 W WASHINGTON ST, CARSON CITY, NV 89703-3746
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
8859
KY
1223P0300X
Periodontics
Primary
S4-84
NV
Other
Enumeration date
07/21/2010
Last updated
09/03/2013
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