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1013520766
EDWIN ROLAND BENNETT
PLACENTIA, CA
NPI
1013520766
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 107244)
Additional Taxonomies
122300000X Dentist
(Licence: OR D11299)
Enumeration Date
2020-08-24
Last Update Date
2023-04-16
Business Address
Dr. EDWIN ROLAND BENNETT DDS
300 E YORBA LINDA BLVD STE E
PLACENTIA, CA 92870-2910
Phone number: 714-524-0207
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Mailing Address
Dr. EDWIN ROLAND BENNETT DDS
300 E YORBA LINDA BLVD STE E
PLACENTIA, CA 92870-2910
Phone number: 714-524-0207
Copy
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