BENJAMIN NEAL BELLAVANCE

TWENTYNINE PALMS, CA
NPI1386406999
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: UT  14231492-9926)
Additional Taxonomies261QS1000X Clinic/Center, Student Health
Enumeration Date2024-01-29
Last Update Date2025-07-22
Business Address
BENJAMIN NEAL BELLAVANCE
23RD DENTAL COMPANY 1591 GRIFFIN ROAD
TWENTYNINE PALMS, CA 92278
Phone number: 760-830-7054
Mailing Address
BENJAMIN NEAL BELLAVANCE
35 SCHOOL ST
REHOBOTH, MA 02769-2203
Phone number: 774-565-0214