Individual
DR. NICHOLAS SEWELL BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
10 N GREENE ST, 2-D-137, BALTIMORE, MD 21201-1524
(410) 605-7056
Mailing address
10 N GREENE ST, 2-D-137, BALTIMORE, MD 21201-1524
(410) 605-7056
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
PENDING
MD
Other
Enumeration date
06/23/2009
Last updated
06/23/2009
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