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1306967872
SHANNON L BENNETT
FORT MYERS, FL
NPI
1306967872
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: FL DN15372)
Enumeration Date
2007-04-03
Last Update Date
2007-07-08
Business Address
-- SHANNON L BENNETT dmd
9400 GLADIOLUS DR 107
FORT MYERS, FL 33908-6699
Phone number: 239-489-1171
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Mailing Address
-- SHANNON L BENNETT dmd
15771 CALOOSA CREEK CIR
FORT MYERS, FL 33908-6737
Phone number: 239-415-6569
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