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Organization
BENCAZ FAMILY DENTISTRY LLC
Active
Organization
BENCAZ FAMILY DENTISTRY LLC
Active
Other names
Jimmie Hammack Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
JARRAD BENCAZ DDS (OWNER)
(225) 665-2417
Entity
Organization
Contact information
Practice address
305 VETERANS BLVD, DENHAM SPRINGS, LA 70726-4722
(225) 664-3535
Mailing address
305 VETERANS BLVD, DENHAM SPRINGS, LA 70726-4722
(225) 664-3535
(225) 664-3552
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5623
LA
Other
Enumeration date
10/20/2014
Last updated
10/20/2014
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