DOWNTOWN DENTAL BENICA NPI 1437380300

NPI Information

DOWNTOWN DENTAL BENICA is a dental clinic center in Benicia, CA. DOWNTOWN DENTAL BENICA NPI is 1437380300. The provider is registered as an organization entity type.

The provider's business location address is:

172 EAST D STREET
BENICIA, CA
ZIP 94510
Phone: (707) 745-3820

The provider's authorized official is Jack Allen Elder .
The authorized official title is President and has the following contact phone number (707) 745-3820.

The enumeration date for this NPI number is 7/27/2009 and was last updated on 7/27/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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