| NPI | 1467964858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ANDREW BENSON Oral Surgeon 318-426-0379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CO DEN.00203329) |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2017-10-25 |