Individual
MAUREEN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
189 MAIN ST, MILFORD, MA 01757-2627
(508) 473-4220
Mailing address
189 MAIN ST, MILFORD, MA 01757-2627
(508) 473-4220
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN1856047
MA
Other
Enumeration date
01/20/2014
Last updated
02/03/2015
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