NPI | 1104294487 |
---|---|
Doing Business As | BENTON DENTAL CENTER |
Entity Type | Organization |
Authorized Contact | CHAD MATONE Owner/Dentist 501-205-1084 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2015-09-03 |
Last Update Date | 2019-02-15 |