BEAU C. BENICH

MARIETTA, GA
NPI1629155387
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: GA  13103)
Enumeration Date2006-11-01
Last Update Date2007-07-08
Business Address
Dr. BEAU C. BENICH DMD
2220 BLACKWELL CHASE CT
MARIETTA, GA 30062-8505
Phone number: 770-971-4662
Mailing Address
Dr. BEAU C. BENICH DMD
2220 BLACKWELL CHASE PARK
MARIETTA, GA 30062
Phone number: 770-971-4662
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