Organization
DAVID ANDREW BENSON, DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ANDREW BENSON DDS, MD (ORAL SURGEON)
(318) 426-0379
Entity
Organization
Contact information
Practice address
6160 TUTT BLVD STE 250, COLORADO SPRINGS, CO 80923-1500
(719) 359-8652
(719) 623-5771
Mailing address
111 LABELLE LN, SHREVEPORT, LA 71115-2964
(318) 426-0379
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DEN.00203329
CO
Other
Enumeration date
10/25/2017
Last updated
10/25/2017
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