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Organization

DAVID A BENNETT DDS LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRICE TALLEY (CLINICAL ADMINISTRATOR)
(614) 764-2845
Entity
Organization

Contact information

Practice address
5118 BLAZER PKWY, DUBLIN, OH 43017-1339
(614) 764-2845
(614) 764-2961
Mailing address
5118 BLAZER PKWY, DUBLIN, OH 43017-1339
(614) 764-2845
(614) 764-2961

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18954
OH

Other

Enumeration date
03/15/2012
Last updated
03/15/2012
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