DR. Charles Michael Bennett, DDS

NPI #1225197577 in Orem, Utah

Provider Information

NPI Number: 1225197577
Entity Type: Individual
Name: DR. Charles Michael Bennett, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Dec 6, 2006
Last Updated: Jun 3, 2016

Practice Location

Address: 812 S STATE ST
City: Orem
State: Utah
ZIP Code: 84097-7026
Phone: (801) 691-0457

Specialties & Taxonomy Codes

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

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