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1558571943
DAVID BENNETT
PROVO, UT
NPI
1558571943
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: UT 622405859922)
Enumeration Date
2007-05-23
Last Update Date
2007-07-08
Business Address
-- DAVID BENNETT D.D.S.
247 W 2230 N
PROVO, UT 84604-1587
Phone number: 801-275-1414
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Mailing Address
-- DAVID BENNETT D.D.S.
247 W 2230 N
PROVO, UT 84604-1587
Phone number:
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