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1194844944
DARRELL BENNETT BASS
SAN LUIS OBISPO, CA
NPI
1194844944
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CA 53496)
Enumeration Date
2007-03-29
Last Update Date
2013-08-13
Business Address
DR. DARRELL BENNETT BASS DDS
835 AEROVISTA PL STE 210
SAN LUIS OBISPO, CA 93401-8741
Phone number: 805-543-4266
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Mailing Address
DR. DARRELL BENNETT BASS DDS
835 AEROVISTA PL STE 210
SAN LUIS OBISPO, CA 93401-8741
Phone number: 805-543-4266
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