Organization
BENNETT CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DALE J. BENNETT D.C. (OWNER)
(801) 546-3600
Entity
Organization
Contact information
Practice address
195 E GENTILE ST, SUITE 7, LAYTON, UT 84041-3754
(801) 546-3600
(801) 546-0966
Mailing address
195 E GENTILE ST, SUITE 7, LAYTON, UT 84041-3754
(801) 546-3600
(801) 546-0966
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
165905-1202
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000005763
MEDICARE ID - TYPE UNSPECIFIED
UT
Enumeration date
01/26/2010
Last updated
01/26/2010
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