Individual
DR. DARREN ALEXANDER BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2240 S CICERO AVE, CICERO, IL 60804-2411
(708) 656-2222
(708) 652-3990
Mailing address
430 W ERIE ST, STE 500, CHICAGO, IL 60610-6914
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
06/07/2007
Last updated
07/08/2007
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