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Organization
UNITED DENTAL SPECIALISTS, PLLC
Active
Organization
UNITED DENTAL SPECIALISTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID A BENNETT DDS (CEO)
(305) 593-6520
Entity
Organization
Contact information
Practice address
10305 NW 41ST ST, STE: 207, DORAL, FL 33178-2396
(305) 593-6520
Mailing address
10305 NW 41ST ST, STE: 207, DORAL, FL 33178-2396
(305) 593-6520
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
DN0010709
FL
1223P0300X
Periodontics
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
06/15/2015
Last updated
06/15/2015
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