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1225197577
CHARLES MICHAEL BENNETT
OREM, UT
NPI
1225197577
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: UT 375815)
Enumeration Date
2006-12-06
Last Update Date
2016-06-03
Business Address
Dr. CHARLES MICHAEL BENNETT DDS
812 S STATE ST
OREM, UT 84097-7026
Phone number: 801-691-0457
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Mailing Address
Dr. CHARLES MICHAEL BENNETT DDS
812 S STATE ST
OREM, UT 84097-7026
Phone number: 801-360-0981
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