MARIO BENAVENTE

SAN BRUNO, CA
NPI1225047327
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  35677)
Enumeration Date2006-08-07
Last Update Date2007-07-08
Business Address
Dr. MARIO BENAVENTE DDS
298 LINDEN AVE
SAN BRUNO, CA 94066-4805
Phone number: 650-589-0494
Mailing Address
Dr. MARIO BENAVENTE DDS
298 LINDEN AVE
SAN BRUNO, CA 94066-4805
Phone number: