Individual
DR. JEFFREY THOMAS BENZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
155 HANDLEY RD, TYRONE, GA 30290-2113
(770) 632-0264
Mailing address
155 HANDLEY RD, TYRONE, GA 30290-2113
(770) 977-9095
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8746
GA
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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