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Organization
TIMOTHY BENNETT DENTAL CORPORATION
Active
Organization
TIMOTHY BENNETT DENTAL CORPORATION
Active
Other names
WALERGA DENTAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY BENNETT DDS (OWNER DDS)
(916) 725-4530
Entity
Organization
Contact information
Practice address
8008 WALERGA RD, STE. 100, ANTELOPE, CA 95843
(916) 725-4530
(916) 725-4560
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 508-3600
(714) 368-2092
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/13/2006
Last updated
05/11/2022
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