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1083791826
TIMOTHY A. BENICH
MARIETTA, GA
NPI
1083791826
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: GA 7987)
Enumeration Date
2006-11-01
Last Update Date
2007-07-08
Business Address
Dr. TIMOTHY A. BENICH DDS
135 JOHNSON FERRY RD STE 2100
MARIETTA, GA 30068-4942
Phone number: 770-953-3143
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Mailing Address
Dr. TIMOTHY A. BENICH DDS
459 SHADOWLAWN RD SE
MARIETTA, GA 30067-4326
Phone number: 770-953-3143
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