Bennett, Mark Alan
Bennett, Mark Alan is an sole proprietor health care provider with primary practice located at 1331 S Eliseo Dr , Greenbrae CA 94904-2010. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Pathology, which is considered as his primary health care specialty. Bennett, Mark Alan can be contacted via phone (415) 461-1150.Contact Information
Primary practice address
1331 S Eliseo Dr
Greenbrae CA 94904-2010
Phone: (415) 461-1150
Fax: (415) 461-1573
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Pathology | 1223P0106X | 29016 | California |
Profile Details
| NPI number | 1558401281 |
|---|---|
| LBN Legal business name | Bennett, Mark Alan |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 8th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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