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Individual
DR. DUANE EVERETT BENNETT II
Active
Individual
DR. DUANE EVERETT BENNETT II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12011502A
IN
1223P0300X
Periodontics
Primary
DE60402132
WA
Other
Enumeration date
07/24/2013
Last updated
01/28/2022
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