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Individual

CHRISTINA MAE BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
1721 SAEMANN AVE, SHEBOYGAN, WI 53081
(920) 783-6633
Mailing address
1721 SAEMANN AVE, SHEBOYGAN, WI 53081-2342
(415) 847-3995

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
1001867-15
WI
1223D0001X
Public Health Dentistry
Primary
1001867
WI

Other

Enumeration date
06/23/2018
Last updated
07/11/2018
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