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Individual

DR. BENJAMIN DOMINIC FITZHARRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
NAVAL STATION NORFOLK DENTAL CLINIC, 1647 ADMIRAL TAUSSIG BLVD, NORFOLK, VA 23511-5596
(757) 953-2786
Mailing address
NAVAL STATION NORFOLK DENTAL CLINIC, 1647 ADMIRAL TAUSSIG BLVD, NORFOLK, VA 23511
(757) 953-8635

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
2901019811
MI
1223P0700X
Prosthodontics
Primary
DT-2526
HI

Other

Enumeration date
07/03/2008
Last updated
11/30/2022
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