DR. Lee Larue Bennett, D.D.S

NPI #1598983975 in Decatur, Illinois

Provider Information

NPI Number
1598983975
Entity Type
Individual
Name
DR. Lee Larue Bennett, D.D.S
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
D.D.S
Enumeration Date
Apr 23, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1221 E CONDIT ST
ZIP Code
62521-1405
Phone
(217) 423-9930

Specialties & Taxonomy Codes

Specialty
Dentist

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