Individual
TASHA DION BENJAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
317 DERNIER ST, SAINT MARTINVILLE, LA 70582-3809
(337) 342-2566
(337) 342-2533
Mailing address
806 JEFFERSON TER, NEW IBERIA, LA 70560-5727
(337) 365-4945
(337) 376-6860
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6207
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1862070
—
LA
Enumeration date
08/03/2011
Last updated
10/16/2019
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