Individual
CHARLES DEON BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
148 VINCENT STREET, P O 370, SMITHS GROVE, KY 42171
(270) 563-4706
(270) 563-4819
Mailing address
148 VINCENT ST, P O 370, SMITHS GROVE, KY 42171
(270) 563-4706
(270) 563-4819
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
4849
KY
1223G0001X
General Practice Dentistry
Primary
4849
KY
Other
Enumeration date
11/15/2006
Last updated
01/23/2008
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