Individual
DR. STEVEN MICHAEL BENNETT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
4102 PINION DR, USAF ACADEMY, CO 80840-2502
(530) 526-1283
Mailing address
1100 WILFORD HALL LOOP, JBSA LACKLAND, TX 78236-5638
(210) 292-5132
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
57148
CA
1223P0221X
Pediatric Dentistry
Primary
57148
CA
Other
Enumeration date
08/21/2008
Last updated
06/30/2025
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