| Jacqueline Bennett Dds Plc | |
|
1200 N El Dorado Pl Suite C320 Tucson AZ 85715-4637 | |
| (520) 886-3303 | |
| (520) 886-3305 |
| Full Name | Jacqueline Bennett Dds Plc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1200 N El Dorado Pl, Tucson, Arizona |
| Authorized Official Name and Position | Jacqueline Rae Bennett (OWNER) |
| Authorized Official Contact | 5208863303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacqueline Bennett Dds Plc 4121 N Larrea Ln Tucson AZ 85750-2438 Ph: (520) 886-3303 | Jacqueline Bennett Dds Plc 1200 N El Dorado Pl Suite C320 Tucson AZ 85715-4637 Ph: (520) 886-3303 |
| NPI Number | 1316140585 |
|---|---|
| Provider Enumeration Date | 06/06/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316140585 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D4891 (Arizona) | Primary |
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