Organization
B. LAWRENCE BENNETT DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEN LAWRENCE BENNETT DDS (OWNER)
(719) 551-0556
Entity
Organization
Contact information
Practice address
201 W LAKEWAY RD STE 517, GILLETTE, WY 82718
(719) 551-0556
(719) 219-1376
Mailing address
PO BOX 592, ALLIANCE, NE 69301-0592
(719) 551-0556
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
105761
CO
Other
Enumeration date
05/09/2007
Last updated
08/17/2018
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