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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