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1033210703
BENJAMIN CLINKENBEARD
FORT WAYNE, IN
NPI
1033210703
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: IN 12010541A)
Enumeration Date
2006-09-26
Last Update Date
2009-09-29
Business Address
DR. BENJAMIN CLINKENBEARD DDS
3615 LAKE AVE
FORT WAYNE, IN 46805-5539
Phone number: 260-615-9177
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Mailing Address
DR. BENJAMIN CLINKENBEARD DDS
3615 LAKE AVE
FORT WAYNE, IN 46805-5539
Phone number: 260-615-9177
Copy
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