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Individual

DR. KIMBERLY BENSONHAVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
804 SAGE BIRD VW, CHARLESTON, SC 29412-9465
(909) 810-9773
Mailing address
804 SAGE BIRD VW, CHARLESTON, SC 29412-9465
(909) 810-9773

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4636
SC

Other

Enumeration date
07/16/2009
Last updated
07/16/2009
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