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Individual

DR. CAROL JOAN BENNETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
11301 WILSHIRE BLVD # 10H2, LOS ANGELES, CA 90073-1003
(310) 478-3711
(310) 268-4967
Mailing address
11301 WILSHIRE BLVD # 10H2, LOS ANGELES, CA 90073-1003
(310) 478-3711
(310) 268-4967

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
C042343
CA

Other

Enumeration date
09/14/2006
Last updated
07/08/2007
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