Individual
DR. SANDRA J. BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
22400 SE STARK ST, GRESHAM, OR 97030-2656
(503) 667-0438
(503) 665-4870
Mailing address
22400 SE STARK ST, GRESHAM, OR 97030-2656
(503) 667-0438
(503) 665-4870
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7351
OR
Other
Enumeration date
05/05/2006
Last updated
04/24/2008
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