MISTY MARIE BENNETT

SHAW AFB, SC
NPI1609525757
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IN  12013810A)
Enumeration Date2022-03-23
Last Update Date2024-10-11
Business Address
Dr. MISTY MARIE BENNETT DDS
420 POLIFKA DR BLDG 1042
SHAW AFB, SC 29152-5100
Phone number: 803-895-6951
Mailing Address
Dr. MISTY MARIE BENNETT DDS
420 POLIFKA DR BLDG 1042
SHAW AFB, SC 29152-5100
Phone number: