Individual
DR. BENJAMIN W DESHETLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2678 KINJAC DR, MARIETTA, GA 30066-4374
(770) 971-1511
(770) 971-0239
Mailing address
2678 KINJAC DR, MARIETTA, GA 30066-4374
(770) 971-1511
(770) 971-0239
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
012189
GA
Other
Enumeration date
06/20/2007
Last updated
07/08/2007
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