Sr Benton LLC

NPI #1417703398 in Benton, Louisiana

Provider Information

NPI Number: 1417703398
Entity Type: Organization
Organization Name: Sr Benton LLC
Primary Specialty: Dentist
Enumeration Date: Apr 30, 2024
Last Updated: May 1, 2024

Practice Location

Address: 5606 BENTON RD STE A
City: Benton
State: Louisiana
ZIP Code: 71006-3408
Phone: (318) 741-5665

Authorized Official

Name: RICHARD MOORE, DDS
Title: OWNER
Phone: (318) 422-6900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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