Organization · Type 2 NPI

Sandra J. Bennett, DMD LLC

Dental Clinic/Center · Gresham, OR

NPI number 1053586529 Active

Practice location

22400 SE Stark St
Gresham, OR 97030-2656

Fax (503) 665-4870

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

33 other providers at this address

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About NPI 1053586529

Sandra J. Bennett, DMD LLC's National Provider Identifier is 1053586529, issued on Apr 25, 2008. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Gresham, OR. The record was last updated on Apr 25, 2008.