Individual
DR. EDWIN ROLAND BENNETT IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
300 E YORBA LINDA BLVD STE E, PLACENTIA, CA 92870-2910
(714) 524-0207
Mailing address
300 E YORBA LINDA BLVD STE E, PLACENTIA, CA 92870-2910
(714) 524-0207
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
107244
CA
122300000X
Dentist
D11299
OR
Other
Enumeration date
08/24/2020
Last updated
02/10/2025
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