Organization
GALLERIA DENTISTRY LEGACY LLC
Active
Other names
Galleria Dentistry, Galleria Dentistry LC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHELSEA ANN YANDA BENZA DMD (OWNER/DENTIST)
(239) 592-5112
Entity
Organization
Contact information
Practice address
9140 GALLERIA COURT, NAPLES, FL 34109
(239) 592-5112
(239) 592-0254
Mailing address
9140 GALLERIA COURT, NAPLES, FL 34109
(239) 592-5112
(239) 592-0254
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DN9062
FL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083725758
NPI
FL
01
—
1316322134
NPI
FL
01
—
1467837278
NPI
FL
Enumeration date
08/31/2006
Last updated
03/22/2023
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