Organization · Type 2 NPI
Benjamin N. Diller, Dds, PA
Dental Clinic/Center · Fernandina Beach, FL
NPI number
1811380983
Active
Practice location
1200 S 14th St
Fernandina Beach, FL 32034-3043
Fax (904) 261-5002
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | DN21074 (FL) |
Dental Clinic/Center: Definition to come...
3 other providers at this address
About NPI 1811380983
Benjamin N. Diller, Dds, PA's National Provider Identifier is 1811380983, issued on Mar 12, 2015. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Fernandina Beach, FL. The record was last updated on Mar 12, 2015.