Individual
GINA BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDA RDA
Contact information
Practice address
1103 W SHERMAN AVE, VINELAND, NJ 08360-6915
(856) 692-9333
(856) 692-5565
Mailing address
1103 W SHERMAN AVE, VINELAND, NJ 08360-6915
(856) 692-9333
(856) 692-5565
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
22DP00552800
NJ
Other
Enumeration date
04/19/2011
Last updated
04/19/2011
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