Individual
DR. WAKESHI LANISE BENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
12230 IRON BRIDGE RD, SUITE B, CHESTER, VA 23831-1534
(804) 454-1888
(804) 454-1868
Mailing address
12230 IRON BRIDGE RD, SUITE B, CHESTER, VA 23831-1534
(804) 454-1888
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901017909
MI
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0401411415
VA
Other
Enumeration date
08/19/2007
Last updated
05/08/2014
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