Individual
EDUARDO BENAVIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1372 HANCOCK ST STE 101, QUINCY, MA 02169-5107
(617) 472-3919
Mailing address
1372 HANCOCK ST STE 101, QUINCY, MA 02169-5107
(617) 472-3919
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN10000910
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/13/2024
Last updated
08/23/2025
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