Individual
DR. BENJAMIN AMES BEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
910 BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA 71118-3410
(318) 686-7470
(318) 686-4505
Mailing address
910 BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA 71118-3410
(318) 686-7470
(318) 686-4505
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5780
LA
Other
Enumeration date
09/06/2007
Last updated
09/06/2007
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