Organization
ASHLEY BENNETT DDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY N BENNETT DDS (OWNING DENTIST)
(503) 292-8996
Entity
Organization
Contact information
Practice address
5415 SW WESTGATE DR STE 202, PORTLAND, OR 97221-2429
(503) 292-8996
Mailing address
12241 SW 13TH CT, PORTLAND, OR 97219-9641
(925) 234-3519
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/17/2020
Last updated
01/17/2020
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