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Individual

DR. KIM LAGRAIZE BENT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
931 WESTWOOD DR, SUITE I, MARRERO, LA 70072-2400
(504) 340-9207
(504) 340-1601
Mailing address
931 WESTWOOD DR, SUITE I, MARRERO, LA 70072-2400
(504) 340-9207
(504) 340-1601

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5089
LA

Other

Enumeration date
08/12/2006
Last updated
07/08/2007
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