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Thomas E Benjamin, DDS Valid NPI

Individual provider · General Practice Dentistry · Rapid City, SD

NPI
1508081324
Type
Individual (Type 1)
Primary specialty
General Practice Dentistry (Dentist)
Specialty group
Dental Providers
Taxonomy code
1223G0001X
License number
D0620 (SD)
Sex
Male
Sole proprietor
Yes
Enumerated
2007-04-16
Last updated
2024-08-15
Practice location
2620 Jackson Blvd Ste B
Rapid City, SD 57702-3478
(605) 348-1712

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Thomas E Benjamin, DDS — NPI 1508081324