Organization
CHASE BENNETT PROFESSIONAL DENTAL CORPORATION
Active
Other names
CranioSpa Bennett Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHASE BENNETT DDS (CEO)
(918) 638-3102
Entity
Organization
Contact information
Practice address
5230 CARROLL CANYON RD STE 326, SAN DIEGO, CA 92121-1781
(619) 494-5091
Mailing address
5230 CARROLL CANYON RD STE 326, SAN DIEGO, CA 92121-1781
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/23/2024
Last updated
02/23/2024
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