| NPI | 1639573637 |
|---|---|
| Doing Business As | JIMMIE HAMMACK FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JARRAD BENCAZ Owner 225-665-2417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: LA 5623) |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2014-10-20 |