NPI | 1447993456 |
---|---|
Doing Business As | BENTON DENTAL CLINIC |
Entity Type | Organization |
Authorized Contact | TAMMY G CHAPMAN CFO 662-502-3137 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2022-04-18 |
Last Update Date | 2022-04-18 |