DR. Benjamin Banneker Shirley, DDS

NPI #1063648392 in Jamaica, New York

Provider Information

NPI Number: 1063648392
Entity Type: Individual
Name: DR. Benjamin Banneker Shirley, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jun 1, 2009
Last Updated: Jun 1, 2009

Practice Location

Address: 16819 HILLSIDE AVE
City: Jamaica
State: New York
ZIP Code: 11432-4340
Phone: (718) 291-1420

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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