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Organization
BRANDON K BENNETT DDS LLC
Active
Organization
BRANDON K BENNETT DDS LLC
Active
Other names
Eldon Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON KEITH BENNETT DDS (PRESIDENT)
(573) 392-5213
Entity
Organization
Contact information
Practice address
202 N MAPLE ST, ELDON, MO 65026-1776
(573) 392-5213
Mailing address
202 N MAPLE ST, ELDON, MO 65026-1776
(573) 392-5213
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/21/2020
Last updated
04/21/2020
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