Individual
DR. BENJAMIN ROSS RECORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
15110 WAX RD, BATON ROUGE, LA 70818-5423
(225) 261-1580
Mailing address
15110 WAX RD, BATON ROUGE, LA 70818-5423
(225) 261-1580
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5502
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1855022
—
LA
Enumeration date
05/04/2006
Last updated
02/11/2025
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