Individual
MICHAEL W BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
115 WILLOW CIRCLE DR, LOVELAND, CO 80537-7667
(970) 669-2887
Mailing address
115 WILLOW CIRCLE DR, LOVELAND, CO 80537-7667
(970) 669-2887
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
905344
CO
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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