Individual
KIMBERLY ANN BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2105 PRINCESS ANNE ROAD, SUITE 108, VIRGINIA BEACH, VA 23456
(757) 301-3945
Mailing address
2105 PRINCESS ANNE ROAD, SUITE 108, VIRGINIA BEACH, VA 23456
(757) 301-3945
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401414818
VA
1223G0001X
General Practice Dentistry
60988
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201074540B
—
KS
Enumeration date
07/02/2013
Last updated
08/21/2015
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