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1487079208
TRACY C. BENTON
DENHAM SPRINGS, LA
NPI
1487079208
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: LA 3057)
Enumeration Date
2014-03-03
Last Update Date
2014-03-03
Business Address
Dr. TRACY C. BENTON DDS
1310 S RANGE AVE
DENHAM SPRINGS, LA 70726-4810
Phone number: 225-664-0040
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Mailing Address
Dr. TRACY C. BENTON DDS
PO BOX 952
DENHAM SPRINGS, LA 70727-0952
Phone number: 225-664-0040
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