JR BENNETT

SAN DIEGO, CA
NPI1669260113
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-04-25
Last Update Date2025-04-25
Business Address
JR BENNETT DMD
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105-1608
Phone number: 619-280-4213
Mailing Address
JR BENNETT DMD
410 CENTER GREEN DR
LAS VEGAS, NV 89148-5222
Phone number: 702-526-1502
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