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Organization

MARTIN BENNETT M.D. A PROFESSIONAL CORPORATION

Active
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Organization

MARTIN BENNETT M.D. A PROFESSIONAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARTIN BENNETT (PRESIDENT)
(818) 784-1035
Entity
Organization

Contact information

Practice address
14911 MAGNOLIA BLVD, SHERMAN OAKS, CA 91403-1331
(818) 784-1035
(818) 784-5804
Mailing address
14911 MAGNOLIA BLVD, SHERMAN OAKS, CA 91403-1331
(818) 784-1035
(818) 784-5804

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—

Other

Enumeration date
03/07/2011
Last updated
03/07/2011
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