Individual
DR. NARDOS A BENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3050 FIVE FORKS TRICKUM RD SW STE H, LILBURN, GA 30047-1877
(859) 420-6571
Mailing address
3050 FIVE FORKS TRICKUM RD SW, LILBURN, GA 30047-1810
(859) 420-6571
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
7756
KY
1223G0001X
General Practice Dentistry
Primary
DN014697
GA
Other
Enumeration date
01/15/2007
Last updated
01/25/2019
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