Individual
BENJAMIN IAN LAUDIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
411 4TH ST STE C, SAN RAFAEL, CA 94901-5716
(415) 473-5454
(415) 473-5460
Mailing address
411 4TH ST STE C, SAN RAFAEL, CA 94901-5716
(415) 473-5454
(415) 473-5460
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
55008
CA
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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