Individual
DR. LAWRENCE A BENSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4545 E SHEA BLVD, SUITE #203, PHOENIX, AZ 85028-3074
(602) 996-6540
(602) 494-0793
Mailing address
4545 E SHEA BLVD, SUITE #203, PHOENIX, AZ 85028-3074
(602) 996-6540
(602) 494-0793
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2629
AZ
Other
Enumeration date
03/25/2006
Last updated
07/08/2007
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