Individual
DR. RANDAL MAXWELL BENEFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7718 SIX FORKS RD, SUITE 110, RALEIGH, NC 27615-5071
(919) 676-4749
(919) 676-6635
Mailing address
7718 SIX FORKS RD, SUITE 110, RALEIGH, NC 27615-5071
(919) 676-4749
(919) 676-6635
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5695
NC
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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