Organization
SANDSTONE DENTAL OFFICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL MAURICE BENNETT DDS (OWNER DENTIST)
(320) 245-2208
Entity
Organization
Contact information
Practice address
501 N COMMERCIAL AVE, SANDSTONE, MN 55072-0589
(320) 245-2208
(320) 245-2208
Mailing address
501 N COMMERCIAL AVE, PO BOX 589, SANDSTONE, MN 55072-0589
(320) 245-2208
(320) 245-2208
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8046
MN
Other
Enumeration date
08/21/2006
Last updated
08/22/2020
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