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1063598167
BENTON JAMES RUNQUIST
DAVIS, CA
NPI
1063598167
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist Orthodontics and Dentofacial Orthopedics
(Licence: CA 33843)
Enumeration Date
2006-10-31
Last Update Date
2007-07-08
Business Address
DR. BENTON JAMES RUNQUIST D.D.S., M.S.
635 ANDERSON RD SUITE #6
DAVIS, CA 95616-3505
Phone number: 530-756-0220
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Mailing Address
DR. BENTON JAMES RUNQUIST D.D.S., M.S.
307 GRANDE AVE
DAVIS, CA 95616-0211
Phone number: 530-757-6780
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