Individual
DR. ROSS ANDREW BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1200 N CAPE ROCK DR, CAPE GIRARDEAU, MO 63701
(573) 334-8013
(573) 334-4101
Mailing address
1200 N CAPE ROCK DR, CAPE GIRARDEAU, MO 63701
(573) 334-8013
(573) 334-4101
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2007014191
MO
Other
Enumeration date
05/22/2007
Last updated
12/04/2007
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