Benjamin Craig Cornwall, D.D.S. Valid NPI

Individual provider · Dentist · Detroit, MI

NPI

1154419497

Type

Individual (Type 1)

Primary specialty

Dentist

Specialty group

Dental Providers

Taxonomy code

122300000X

License number

2901011788 (MI)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-10-11

Last updated

2021-03-30