Individual
BRAD BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
8930 BROWN DR, BETHESDA, MD 20889-5629
(301) 295-3148
Mailing address
554 KEILY ST, BUMED CENTRALIZED CRED & PRIVILEGING, JACKSONVILLE, FL 32212
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
30.024576
OH
Other
Enumeration date
07/20/2015
Last updated
08/16/2023
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