Individual
JARRAD G BENCAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
130 HUMMELL ST, DENHAM SPRINGS, LA 70726-3418
(225) 665-2417
(225) 665-3724
Mailing address
130 HUMMELL ST, DENHAM SPRINGS, LA 70726-3418
(225) 665-2417
(225) 665-3724
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5623
LA
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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