Individual
VAJRA BENTUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
29201 TELEGRAPH RD STE 110, SOUTHFIELD, MI 48034-7630
(248) 358-2910
Mailing address
29201 TELEGRAPH RD STE 110, SOUTHFIELD, MI 48034-7630
(248) 358-2910
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
2901019680
MI
Other
Enumeration date
08/13/2007
Last updated
09/20/2012
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