NPI 1053586529

Sandra J. Bennett, DMD LLC

Organisation Dental Clinic/Center Gresham, OR

Practice location

Address: 22400 SE Stark St, Gresham, OR 97030-2656
Phone: (503) 667-0438
Fax: (503) 665-4870

Authorised official

Name: Sandra J. Bennett
Title: Owner
Phone: (503) 667-0438

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X

Other Clinic/Center providers in Oregon →

Registry record

NPI: 1053586529
Entity type: Organization
NPI issued: 25 Apr 2008
Record last updated: 25 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.