Individual
MS. JENNIFER JEAN BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDA, EFDA
Contact information
Practice address
3301 FAYCREST RD, COLUMBUS, OH 43232-5974
(614) 321-4332
Mailing address
3301 FAYCREST RD, COLUMBUS, OH 43232-5974
(614) 321-4332
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
201692
IL
126800000X
Dental Assistant
Primary
EFDA-01263
OH
Other
Enumeration date
02/02/2010
Last updated
02/02/2010
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