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Individual
DR. MARK RICHARD BENNE
Active
Individual
DR. MARK RICHARD BENNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019.019810
IL
1223G0001X
General Practice Dentistry
16-0000997
VT
1223G0001X
General Practice Dentistry
53740
CA
1223G0001X
General Practice Dentistry
Primary
DE00007213
WA
1223G0001X
General Practice Dentistry
DEN.00007213
CO
Other
Enumeration date
01/18/2006
Last updated
07/21/2022
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