Most Relevant Information
Provider Data
| NPI Number: | 1003431123 |
| Provider Name: | BENJAMIN NICOLAS CUEVAS DMD |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | T-7293 |
Most Important Dates
| Enumeration Date: | 06/15/2020 |
| Last Updated: | 06/15/2020 |
Provider Practice Location
100 STARLITE DR
KINGFISHER
OK
737504944
Practice Location Phone/Fax
| Phone: | 4053755855 |
| Fax: |
Provider Mailing Location
100 STARLITE DR
KINGFISHER
OK
737504944
Provider Mailing Phone/Fax
| Phone: | 4053755855 |
| Fax: |