Individual
DR. BREANNA MARJORIE BENBOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
304 JEFFERSON ST, WHITEVILLE, NC 28472-3602
(910) 640-6615
Mailing address
PO BOX 810, WHITEVILLE, NC 28472-0810
(910) 640-6615
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12218
NC
1223D0001X
Public Health Dentistry
Primary
12218
NC
1223G0001X
General Practice Dentistry
12218
NC
Other
Enumeration date
06/23/2021
Last updated
06/23/2021
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