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1932157609
SANDRA J. BENNETT
GRESHAM, OR
NPI
1932157609
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OR D7351)
Enumeration Date
2006-05-05
Last Update Date
2008-04-24
Business Address
Dr. SANDRA J. BENNETT DMD
22400 SE STARK ST
GRESHAM, OR 97030-2656
Phone number: 503-667-0438
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Mailing Address
Dr. SANDRA J. BENNETT DMD
22400 SE STARK ST
GRESHAM, OR 97030-2656
Phone number: 503-667-0438
Copy
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