| NPI | 1972369288 |
|---|---|
| Doing Business As | CRANIOSPA BENNETT DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | CHASE BENNETT CEO 918-638-3102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2024-02-23 |
| Last Update Date | 2024-02-23 |