Mary T Benjamin, DDS
Dentist, Dental Public Health in Lawrenceville, GA. Individual provider (NPI-1).
NPI number1790743870
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1790743870
- Entity type
- Individual (NPI-1)
- Name
- Mary T Benjamin
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 1, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223D0001X | Dentist, Dental Public Health | DN010144 | GA | Yes |
Practice location
15 S Clayton StLawrenceville, GA 30045-5715
Phone 770-339-4283 · Fax 770-279-5983
Mailing address
Po Box 8972570 Riverside Parkway
Lawrenceville, GA 30046-0897
Phone 770-339-4260 · Fax 770-963-6322
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