Individual
BENETTA F WHITFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
8500 W MARKHAM ST STE 331, LITTLE ROCK, AR 72205-2408
(501) 224-3131
Mailing address
8500 W MARKHAM ST STE 331, LITTLE ROCK, AR 72205-2408
(501) 224-3131
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN012000
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000956249A
—
GA
01
—
1394541
UNITED CONCORDIA
GA
Enumeration date
10/23/2006
Last updated
07/29/2009
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