Individual
CHRISTIAN BENNION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5213 W OVERLAND RD, BOISE, ID 83705-2637
(208) 345-2325
(915) 742-7462
Mailing address
5213 W OVERLAND RD, BOISE, ID 83705-2637
(208) 345-2325
(915) 742-7462
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D4982
ID
Other
Enumeration date
08/08/2015
Last updated
07/13/2023
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