Steven Michael Bennett JR. D.M.D.

NPI 1073760005 - Dentist - 122300000X

NPI Details
NPI 1073760005
Gender Male
Enumeration Date 08/21/2008
Last Updated 12/19/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
110 W. ENT AVE
ATTN: 21 MDS/SGOD - SCHRIEVER DENTAL CLINIC
PETERSON AFB CO, 80914-1540, US
Phone (719) 567-4293
Fax (719) 567-5115
Business Location
110 W. ENT AVE
ATTN: 21 MDS/SGOD - SCHRIEVER DENTAL CLINIC
PETERSON AFB CO, 80914-1540, US
Phone (719) 567-4293
Fax (719) 567-5115
Toxanomy
Taxonomy Code 122300000X
License State California
License Number 57148
Remove 1073760005 NPI Number
 

According to our database, Dr. Steven Michael Bennett JR. D.M.D. NPI is 1073760005, taxonomy code is 122300000X and license number is 57148, license state is located at California. Steven Michael Bennett JR. D.M.D. physically located at 110 W. Ent Ave, Peterson Afb CO, 80914-1540. NPI Number Steven Michael Bennett JR. D.M.D. has the Individual type.

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1073760005 NPI number is provided on an as is basis without warranty of any kind. 1073760005 is maintained by the National Plan & Provider Enumeration System. The contents of Steven Michael Bennett JR. D.M.D. are for informational purposes only.