Ashley Bennett Dds, LLC

NPI #1093345159 in Portland, Oregon

Provider Information

NPI Number: 1093345159
Entity Type: Organization
Organization Name: Ashley Bennett Dds, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 17, 2020
Last Updated: Jan 17, 2020

Practice Location

Address: 5415 SW WESTGATE DR STE 202
City: Portland
State: Oregon
ZIP Code: 97221-2429
Phone: (503) 292-8996

Authorized Official

Name: ASHLEY N BENNETT, DDS
Title: OWNING DENTIST
Phone: (503) 292-8996

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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