MARK BENAVIDES

OTTAWA, IL
NPI1801233606
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: IL  19020337)
Enumeration Date2013-06-03
Last Update Date2013-12-17
Business Address
Dr. MARK BENAVIDES DDS
1703 POLARIS CIR SUITE 3
OTTAWA, IL 61350-1683
Phone number: 815-434-0152
Mailing Address
Dr. MARK BENAVIDES DDS
1703 POLARIS CIR SUITE 3
OTTAWA, IL 61350-1683
Phone number: 815-434-0152
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