Individual
DR. BRANDEN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
26 CROSS CT, SUGAR GROVE, IL 60554-5485
(630) 466-4511
Mailing address
0S993 THORNDON RIDGE DR, ELBURN, IL 60119-9653
(815) 252-8133
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.034772
IL
Other
Enumeration date
07/20/2021
Last updated
07/16/2024
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