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Organization
B. LAWRENCE BENNETT DDS PC
Active
Organization
B. LAWRENCE BENNETT DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEN LAWRENCE BENNETT DDS (OWNER)
(719) 551-0556
Entity
Organization
Contact information
Practice address
201 W LAKEWAY RD STE 517, GILLETTE, WY 82718
(719) 551-0556
(719) 219-1376
Mailing address
PO BOX 592, ALLIANCE, NE 69301-0592
(719) 551-0556
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
105761
CO
Other
Enumeration date
05/09/2007
Last updated
08/17/2018
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