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 |