NPI | 1124194394 |
---|---|
Other Name | TED BENADERET |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 18786) |
Enumeration Date | 2006-11-28 |
Last Update Date | 2007-07-08 |