Individual
ANDREW LEE BENJAMIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9632 MARLBORO PIKE, UPPER MARLBORO, MD 20772-3767
(301) 967-0183
Mailing address
9632 MARLBORO PIKE, UPPER MARLBORO, MD 20772-3767
(301) 967-0183
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
0438000519
VA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
17892
MD
Other
Enumeration date
06/17/2020
Last updated
01/20/2025
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