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DR. MARIO BENAVENTE DDS

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1225047327

Individual Registrant:
DR. MARIO  BENAVENTE DDS
Gender: M
Sole Proprietor

Location and contact information for practice:
298 LINDEN AVE  SAN BRUNO, CA 94066-4805 US
Tel: 650-589-0494  Fax: --

Contact information for business:
298 LINDEN AVE  SAN BRUNO, CA 94066-4805 US
Tel: --  Fax: --

Registration Information:
NPI: 1225047327
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
CA35677

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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