Individual
DR. BENNETT EDWARD ISABELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
14682 PENNOCK AVE, APPLE VALLEY, MN 55124-7429
(952) 431-5774
Mailing address
14682 PENNOCK AVE, APPLE VALLEY, MN 55124-7429
(952) 431-5774
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D12540
MN
Other
Enumeration date
05/30/2008
Last updated
05/30/2008
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