Individual
BENJAMIN BENIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5500 OWENSMOUTH AVE, #305, WOODLAND HILLS, CA 91367-7004
(415) 999-0300
Mailing address
5500 OWENSMOUTH AVE, #305, WOODLAND HILLS, CA 91367-7004
(415) 999-0300
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
34468
CA
Other
Enumeration date
11/10/2015
Last updated
11/10/2015
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