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1356565477
BRIAN DOUGLAS BENJAMIN
SAN CLEMENTE, CA
NPI
1356565477
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 24215)
Enumeration Date
2007-04-12
Last Update Date
2009-06-30
Business Address
Dr. BRIAN DOUGLAS BENJAMIN D.D.S.
2123 AVENIDA ESPADA
SAN CLEMENTE, CA 92673-5608
Phone number: 714-478-9849
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Mailing Address
Dr. BRIAN DOUGLAS BENJAMIN D.D.S.
2123 AVENIDA ESPADA
SAN CLEMENTE, CA 92673-5608
Phone number: 714-478-9849
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