Individual
BENJAMIN HOWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12647 OLIVE BLVD, SUITE 600, SAINT LOUIS, MO 63141-6345
(800) 325-3982
Mailing address
9775 ROD RD, ALPHARETTA, GA 30022-7563
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7577
KY
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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