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Individual

DR. BENJAMIN SIMON MCCARTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D

Contact information

Practice address
1170 LEXAN AVE STE 187, NORFOLK, VA 23508
(757) 440-1360
(757) 440-1361
Mailing address
1170 LEXAN AVE STE 187, NORFOLK, VA 23508-1237
(757) 440-1360
(757) 440-1361

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401412463
VA

Other

Enumeration date
03/09/2010
Last updated
07/03/2018
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