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Individual

DR. BENNETT MARTIN KIZER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
6001 WALDEN DR, SUITE 1, KNOXVILLE, TN 37919-6355
(865) 588-1294
(865) 588-6678
Mailing address
6001 WALDEN DR, SUITE 1, KNOXVILLE, TN 37919-6355
(865) 588-1294
(865) 588-6678

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8699
TN

Other

Enumeration date
07/11/2007
Last updated
07/11/2007
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