Individual
MRS. DEBRA LYN BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
110 AUBURN ST, PORTLAND, ME 04103-2128
(207) 797-7433
(207) 797-7720
Mailing address
110 AUBURN ST, PORTLAND, ME 04103-2128
(207) 797-7433
(207) 797-7720
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2151
ME
Other
Enumeration date
05/06/2009
Last updated
05/06/2009
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