BRUCE BENNINGER

STOCKTON, CA
NPI1982737797
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223X0400X Dentist Orthodontics and Dentofacial Orthopedics
(Licence: CA  17238)
Enumeration Date2007-03-13
Last Update Date2007-07-08
Business Address
DR. BRUCE BENNINGER DDS
4534 PRECISSI LN
STOCKTON, CA 95207-6213
Phone number: 209-478-5167
Mailing Address
DR. BRUCE BENNINGER DDS
4534 PRECISSI LN
STOCKTON, CA 95207-6213
Phone number: 209-478-5167