Individual
JEFFREY PAUL BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MSD
Contact information
Practice address
9115 45TH AVE NE, SEATTLE, WA 98115
(225) 573-7414
Mailing address
1229 MADISON ST, SUITE 1140, SEATTLE, WA 98104-3586
(225) 573-7414
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6150
LA
1223E0200X
Endodontics
DE60364992
WA
Other
Enumeration date
04/23/2013
Last updated
07/10/2018
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