| NPI | 1962399105 |
|---|---|
| Doing Business As | JFD-BENTON |
| Entity Type | Organization |
| Authorized Contact | DANIELLE BROWN Practice Administrator 501-758-7462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2025-06-20 |
| Last Update Date | 2025-06-20 |