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NPI Code Detail

MEDICARE: DRS. LUTINS & BENITEZ, P.A.

MEDICARE: DRS. LUTINS & BENITEZ, P.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223P0300XPeriodontics0502NC

General Provider Information

NPI Number : 1922034719
Entity Type Code : Organization
Provider Name (Legal Business Name) : DRS. LUTINS & BENITEZ, P.A.
Provider Business Mailing Address
First Line : 301 E WENDOVER AVE
Second Line : SUITE 315
City : GREENSBORO
State : NC
Zip : 27401-1207
Country : US
Telephone Number : 336-379-8377
Fax Number : 336-275-2078
Provider Business Practice Location Address
First Line : 301 E WENDOVER AVE
Second Line : SUITE 315
City : GREENSBORO
State : NC
Zip : 27401-1207
Country : US
Telephone Number : 336-379-8377
Fax Number : 336-275-2078
Authorized Official
Title or Position : PRACTICE MANAGER
Name : MRS. BRENDA P. ROBINSON
Credential :
Telephone Number : 336-379-8377
Provider Enumeration Date : 06/23/2006
Last Update Date : 06/28/2012

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Directions to “DRS. LUTINS & BENITEZ, P.A. ” Practice Location

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