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NPI Code Detail

MEDICARE: JULIAN W. BEHNER D.M.D.

MEDICARE:   JULIAN W. BEHNER  D.M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry15624FL

General Provider Information

NPI Number : 1871617100
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIAN W. BEHNER D.M.D.
Provider Business Mailing Address
First Line : 2766 TEAK PL
Second Line :
City : LAKE MARY
State : FL
Zip : 32746-1814
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 934 E ALTAMONTE DR
Second Line :
City : ALTAMONTE SPRINGS
State : FL
Zip : 32701-5051
Country : US
Telephone Number : 407-831-5455
Fax Number : 407-831-2479
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2007
Last Update Date : 07/08/2007

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