BENJAMIN MARK KACOS

SHREVEPORT, LA
NPI1700173069
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: LA  6201)
Enumeration Date2011-07-06
Last Update Date2011-07-06
Business Address
Dr. BENJAMIN MARK KACOS D.M.D.
3100 WOODLAWN AVE SUITE C
SHREVEPORT, LA 71104-4637
Phone number: 318-868-8276
Mailing Address
Dr. BENJAMIN MARK KACOS D.M.D.
3100 WOODLAWN AVE SUITE C
SHREVEPORT, LA 71104-4637
Phone number: 318-868-8276
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