BENTON FAMILY DENTISTRY LLC

BENTON, LA
NPI1821319476
Entity TypeOrganization
Authorized ContactMISTY CRUMP
Dentist
318-965-2424
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: LA  5793)
Enumeration Date2010-06-17
Last Update Date2010-06-17
Business Address
BENTON FAMILY DENTISTRY LLC
192 BURT BLVD
BENTON, LA 71006-4900
Phone number: 318-965-2424
Mailing Address
BENTON FAMILY DENTISTRY LLC
PO BOX 427
BENTON, LA 71006-0427
Phone number: 318-965-2424