Individual
DR. TRAVIS W BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
307 BOATNER RD STE 114, EGLIN AFB, FL 32542-1302
(850) 883-8324
Mailing address
307 BOATNER RD STE 114, EGLIN AFB, FL 32542-1302
(402) 318-6575
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
65062
CA
Other
Enumeration date
09/01/2015
Last updated
08/03/2023
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