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Organization

BENSO GOLD DENTAL, P.A.

Active
Parent organization
BENSO GOLD DENTAL, P.A.
Organization subpart
Yes

Provider details

NPI number
Legal business name
BENSO GOLD DENTAL, P.A.
Authorized official
DERRICK CARTER DMD (DENTIST/OWNER)
(904) 653-3333
Entity
Organization

Contact information

Practice address
571 S 6TH ST, MACCLENNY, FL 32063-2605
(904) 653-3333
(904) 653-3333
Mailing address
571 S 6TH ST, MACCLENNY, FL 32063-2605
(904) 653-3333
(904) 653-3333

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
07/29/2025
Last updated
08/05/2025
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