Individual
DR. MARC ELLIOT BENNET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
62 LAKE AVE S, SUITE A, NESCONSET, NY 11767-1094
(631) 360-7337
Mailing address
62 LAKE AVE S, SUITE A, NESCONSET, NY 11767-1094
(631) 360-7337
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
50053961
NY
Other
Enumeration date
08/29/2008
Last updated
02/03/2017
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