Individual
DR. ROBERT LOUIS BENNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1012 CENTRE AVE, SUITE 102, FORT COLLINS, CO 80526
(970) 224-3800
(970) 494-0590
Mailing address
1012 CENTRE AVE, SUITE 102, FORT COLLINS, CO 80526
(970) 224-3800
(970) 494-0590
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7857
CO
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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