Individual
NAFATIA NOEL BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4250 DIX ST NE, WASHINGTON, DC 20019-3436
(202) 790-9187
Mailing address
4250 DIX ST NE, WASHINGTON, DC 20019-3436
(202) 790-9187
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
NONE
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NONE
—
DC
Enumeration date
09/11/2019
Last updated
09/11/2019
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