Organization
DONALD L BENNETT, D.D.S., P.C.
Active
Other names
Antioch Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD L BENNETT DDS (PRESIDENT)
(847) 395-3250
Entity
Organization
Contact information
Practice address
439 LAKE ST, ANTIOCH, IL 60002-1405
(847) 395-3250
Mailing address
439 LAKE ST, ANTIOCH, IL 60002-1405
(847) 395-3250
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/08/2025
Last updated
08/08/2025
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