Individual
DR. BENJAMIN THOMAS OVERSTREET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
4909 GROVE AVE, RICHMOND, VA 23226-1649
(804) 355-6593
(804) 358-6394
Mailing address
4909 GROVE AVE, RICHMOND, VA 23226-1649
(804) 355-6593
(804) 358-6394
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
04014110210
VA
Other
Enumeration date
01/03/2013
Last updated
01/03/2013
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