Individual
DR. DAVID W BENNETT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
543 TAYLOR AVE, COLUMBUS, OH 43203-1278
(614) 257-5642
Mailing address
5662 PLATINUM DR, GROVE CITY, OH 43123-8271
(614) 571-1865
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5459
OH
Other
Enumeration date
08/16/2006
Last updated
10/15/2007
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