Individual
DR. KYLE ALAN BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3205 NE 78TH ST STE 11, VANCOUVER, WA 98665-0697
(360) 576-3570
(360) 571-7768
Mailing address
3205 NE 78TH ST STE 11, VANCOUVER, WA 98665-0697
(360) 576-3570
(360) 571-7768
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE61445965
WA
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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