Individual
DR. BRENT JOSEPH BENOIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.D
Contact information
Practice address
635 ENTERPRISE DR, HOUMA, LA 70360-5405
(985) 853-1142
Mailing address
635 ENTERPRISE DR, HOUMA, LA 70360-5405
(985) 853-1142
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6551
LA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6551
LA
Other
Enumeration date
06/15/2015
Last updated
06/20/2023
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