Individual
DR. KEVAN P BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2571 CAMPUS DR, KLAMATH FALLS, OR 97601-1102
(541) 539-4306
Mailing address
3485 W 5620 S, TAYLORSVILLE, UT 84129-3254
(504) 858-1684
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11810
OR
Other
Enumeration date
06/28/2023
Last updated
06/28/2023
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