MICHAEL BENNETT

PORTLAND, ME
NPI1104984970
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: ME  3523)
Enumeration Date2006-12-05
Last Update Date2007-07-08
Business Address
-- MICHAEL BENNETT DMD
276 CANCO RD
PORTLAND, ME 04103-4351
Phone number: 207-874-1025
Mailing Address
-- MICHAEL BENNETT DMD
276 CANCO RD
PORTLAND, ME 04103-4351
Phone number: 207-874-1025
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