Individual
HENRY BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
635 ANDERSON RD, SUITE 19, DAVIS, CA 95616-3505
(530) 758-2350
(530) 758-1900
Mailing address
635 ANDERSON RD, SUITE 19, DAVIS, CA 95616-3505
(530) 758-2350
(530) 758-1900
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D-20816
CA
Other
Enumeration date
10/06/2006
Last updated
07/08/2007
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