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Search › California › 390200000X

Jr Bennett, DMD

NPI 1669260113 · on the registry since 2025 · sole proprietor

Practice

Address
4060 Fairmount Ave
San Diego, CA 92105
Phone
(619) 280-4213
Organisation at this address
La Maestra Family Clinic
La Maestra Family Clinic
La Maestra Family Clinic Inc
La Maestra Family Clinic, Inc
La Maestra Family Clinic, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
104

Registry record

Primary taxonomy
390200000X
390200000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-04-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California