Individual
PATRICIA BENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
3519 56TH ST NW, 140, GIG HARBOR, WA 98335-8593
(253) 858-8581
Mailing address
4422 BAGLEY AVE N, APT #104, SEATTLE, WA 98103-7677
(253) 691-1533
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10081098
MA
1223P0221X
Pediatric Dentistry
D9593
OR
1223P0221X
Pediatric Dentistry
Primary
DE60404303
WA
Other
Enumeration date
07/10/2008
Last updated
12/30/2013
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