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1821319476
BENTON FAMILY DENTISTRY LLC
BENTON, LA
NPI
1821319476
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Entity Type
Organization
Authorized Contact
MISTY CRUMP
Dentist
318-965-2424
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: LA 5793)
Enumeration Date
2010-06-17
Last Update Date
2010-06-17
Business Address
BENTON FAMILY DENTISTRY LLC
192 BURT BLVD
BENTON, LA 71006-4900
Phone number: 318-965-2424
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Mailing Address
BENTON FAMILY DENTISTRY LLC
PO BOX 427
BENTON, LA 71006-0427
Phone number: 318-965-2424
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