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Individual

DR. CASEY MITCHELL BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
6335 DORCHESTER RD, NORTH CHARLESTON, SC 29418-5103
(843) 552-2580
Mailing address
1751 SANTEE ST, CHARLESTON, SC 29412-3547

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8956
SC

Other

Enumeration date
07/11/2017
Last updated
07/11/2017
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