Individual
DR. KENNETH C BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
9625 PROMINENT PT, STE 100, COLORADO SPRINGS, CO 80924-5004
(719) 495-5748
Mailing address
12318 SLEEPING BEAR RD, PEYTON, CO 80831-7091
(208) 520-3735
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D-4508
ID
122300000X
Dentist
Primary
DEN.00202199
CO
Other
Enumeration date
07/09/2013
Last updated
05/07/2014
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