NPI | 1043535727 |
---|---|
Doing Business As | BENTON FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | BRANDON KYLE BENTON General Dentist 501-623-6132 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 3716) |
Enumeration Date | 2010-04-06 |
Last Update Date | 2022-07-26 |