Organization
BRUCE P. BENIFIEL, D.D.S., P.C.
Active
Other names
Benifiel Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE PHILIP BENIFIEL D.D.S. (PRESIDENT)
(574) 277-7733
Entity
Organization
Contact information
Practice address
925 E UNIVERSITY DR, GRANGER, IN 46530-4465
(574) 277-7733
(574) 277-8436
Mailing address
925 E UNIVERSITY DR, GRANGER, IN 46530-4465
(574) 277-7733
(574) 277-8436
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12008886
IN
Other
Enumeration date
10/01/2006
Last updated
08/22/2020
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