Individual
JESTINA O BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
205 STEEPLE CHASE DR, SUITE 208, PRINCE FREDERICK, MD 20678-4053
(410) 535-0296
(410) 535-4707
Mailing address
205 STEEPLE CHASE DR, SUITE 208, PRINCE FREDERICK, MD 20678-4053
(410) 535-0296
(410) 535-4707
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14017
MD
Other
Enumeration date
01/03/2008
Last updated
01/03/2008
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