Individual
DR. MICHAEL MAURICE BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
501 N COMMERCIAL AVE, SANDSTONE, MN 55072-0589
(320) 245-2208
(320) 245-2208
Mailing address
501 N COMMERCIAL AVE, PO BOX 589, SANDSTONE, MN 55072-0589
(320) 245-2208
(320) 245-2208
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8046
MN
Other
Enumeration date
12/20/2006
Last updated
07/08/2007
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