CHRISTIAN MICHAEL BENNETT

VINE GROVE, KY
NPI1982220992
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: KY  10516)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-06-25
Last Update Date2020-09-01
Business Address
Dr. CHRISTIAN MICHAEL BENNETT DMD
201 W MAIN ST
VINE GROVE, KY 40175-1304
Phone number: 270-877-2011
Mailing Address
Dr. CHRISTIAN MICHAEL BENNETT DMD
822 N ELM ST
HENDERSON, KY 42420-2709
Phone number: 270-826-8899