Mary T Benjamin, DDS Valid NPI
Individual provider · Public Health Dentistry · Lawrenceville, GA
- NPI
- 1790743870
- Type
- Individual (Type 1)
- Primary specialty
- Public Health Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223D0001X
- License number
- DN010144 (GA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2006-05-01
- Last updated
- 2007-07-08
Practice location
15 S Clayton St
Lawrenceville, GA 30045-5715
(770) 339-4283