Individual
BENJAMIN S FISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
919 N MICHIGAN AVE, 3RD FL., CHICAGO, IL 60611-1681
(312) 951-5230
(312) 951-8839
Mailing address
919 N MICHIGAN AVE, 3RD FL., CHICAGO, IL 60611-1681
(312) 951-5230
(312) 951-8839
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1916402
IL
Other
Enumeration date
10/07/2008
Last updated
10/07/2008
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