Peter Jason Benisch, D.M.D. Valid NPI

Individual provider · General Practice Dentistry · Millburn, NJ

NPI

1265511125

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

22DI02164000 (NJ)

Sex

Male

Sole proprietor

No

Enumerated

2006-11-03

Last updated

2007-07-08