B. Lawrence Bennett DDS PC

NPI #1457565897 in Gillette, Wyoming

Provider Information

NPI Number: 1457565897
Entity Type: Organization
Organization Name: B. Lawrence Bennett DDS PC
Primary Specialty: Dentist
Enumeration Date: May 9, 2007
Last Updated: Aug 17, 2018

Practice Location

Address: 201 W LAKEWAY RD STE 517
City: Gillette
State: Wyoming
ZIP Code: 82718
Phone: (719) 551-0556

Authorized Official

Name: DR. BEN LAWRENCE BENNETT, DDS
Title: OWNER
Phone: (719) 551-0556

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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