SANDRA J. BENNETT, DMD LLC

GRESHAM, OR
NPI1053586529
Entity TypeOrganization
Authorized ContactSANDRA J. BENNETT
Owner
503-667-0438
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2008-04-25
Last Update Date2008-04-25
Business Address
SANDRA J. BENNETT, DMD LLC
22400 SE STARK ST
GRESHAM, OR 97030-2656
Phone number: 503-667-0438
Mailing Address
SANDRA J. BENNETT, DMD LLC
22400 SE STARK ST
GRESHAM, OR 97030-2656
Phone number: 503-667-0438
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