TRACE ALLEN BENNETT

BASTROP, LA
NPI1073408613
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: LA  7702)
Enumeration Date2025-06-12
Last Update Date2025-10-09
Business Address
Dr. TRACE ALLEN BENNETT DDS
314 N FRANKLIN ST
BASTROP, LA 71220-3846
Phone number: 318-281-6167
Mailing Address
Dr. TRACE ALLEN BENNETT DDS
PO BOX 792
BASTROP, LA 71221-0792
Phone number: 318-281-6167
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