Individual
BRYCE RYLAN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2239 N SCHOOL ST, HONOLULU, HI 96819
(804) 382-1760
Mailing address
13221 W PALO VERDE DR, LITCHFIELD PARK, AZ 85340-8356
(804) 382-1760
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/13/2018
Last updated
06/10/2018
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