| NPI | 1184614778 |
|---|---|
| Professional Name | WILLIAM THADDEUS BENSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: ME DEN4602) |
| Additional Taxonomies | 122300000X Dentist (Licence: MA 15695) |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2018-09-04 |