| NPI | 1124683461 |
|---|---|
| Doing Business As | VANESSA BENAVENT, DDS, MSD, FAGD |
| Entity Type | Organization |
| Authorized Contact | VANESSA BENAVENT ANDERSON Owner 443-535-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain |
| Enumeration Date | 2019-05-02 |
| Last Update Date | 2019-05-02 |