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Jaclyn Benish
NPI 1942347604 · on the registry since 2007
Practice
- Address
- 311 E Tyranena Park Rd
Lake Mills, WI 53551 - Phone
- (920) 648-2331
- Fax
- (920) 648-3437
- Organisation at this address
- Dental Associates Of Lake Mills, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2009-06-15
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 Wisconsin