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1629155387
BEAU C. BENICH
MARIETTA, GA
NPI
1629155387
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: GA 13103)
Enumeration Date
2006-11-01
Last Update Date
2007-07-08
Business Address
Dr. BEAU C. BENICH DMD
2220 BLACKWELL CHASE CT
MARIETTA, GA 30062-8505
Phone number: 770-971-4662
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Mailing Address
Dr. BEAU C. BENICH DMD
2220 BLACKWELL CHASE PARK
MARIETTA, GA 30062
Phone number: 770-971-4662
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