Timothy Paul Bennett, DDS Valid NPI
Individual provider · Dentist · Roseville, CA
- NPI
- 1033205901
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 28517 (CA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-10-05
- Last updated
- 2014-01-30
Practice location
721 Pleasant Grove Blvd Ste 150
Roseville, CA 95678-6181
(916) 865-2252