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Organization
OAKPORT DENTAL SANFORD PLLC
Active
Organization
OAKPORT DENTAL SANFORD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYNE BENNETT DMD (SOLE MEMBER)
(407) 323-5340
Entity
Organization
Contact information
Practice address
2421 S MAPLE AVE, SANFORD, FL 32771-4269
(407) 323-5340
(407) 322-9136
Mailing address
2421 S MAPLE AVE, SANFORD, FL 32771-4269
(407) 323-5340
(407) 322-9136
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
FL
Other
Enumeration date
03/31/2015
Last updated
03/31/2015
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