Individual
DR. VIVIAN MARIE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
735 N 185TH ST, SHORELINE, WA 98133-3901
(206) 542-7000
(206) 542-4300
Mailing address
735 N 185TH ST, SHORELINE, WA 98133-3901
(206) 542-7000
(206) 542-4300
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00006035
WA
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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