Search › California › 122300000X
Benjamin Bellavance
NPI 1386406999 · on the registry since 2024 · sole proprietor
Practice
- Address
- 23rd Dental Company 1591 Griffin Road
Twentynine Palms, CA 92278 - Phone
- (760) 830-7054
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 261QS1000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-07-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California