Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | NONE | DC |
NPI | 1235789272 |
---|---|
Provider Name | Nafatia Noel Benson |
First Address | Washington, DC 20019-3436 |
Second Address | Washington, DC 20019-3436 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/09/2019 |
Last Update Date | 11/09/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
NONE | (05) | DC |