Brandon K Bennett DDS LLC

NPI #1801416722 in Eldon, Missouri

Provider Information

NPI Number: 1801416722
Entity Type: Organization
Organization Name: Brandon K Bennett DDS LLC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Apr 21, 2020
Last Updated: Apr 21, 2020

Practice Location

Address: 202 N MAPLE ST
City: Eldon
State: Missouri
ZIP Code: 65026-1776
Phone: (573) 392-5213

Authorized Official

Name: DR. BRANDON KEITH BENNETT, DDS
Title: PRESIDENT
Phone: (573) 392-5213

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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