Individual
DR. CARSEN BENTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
155 5TH ST, SAN FRANCISCO, CA 94103-2919
(415) 215-3253
Mailing address
122 4TH AVE, SAN FRANCISCO, CA 94118-1306
(415) 613-6123
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61579
CA
122300000X
Dentist
6942-15
WI
Other
Enumeration date
04/30/2012
Last updated
11/19/2019
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