Individual
DR. BENITO O VIZCONDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
5771 BEACH BLVD, BUENA PARK, CA 90621-2044
(714) 228-1230
(714) 228-0580
Mailing address
5771 BEACH BLVD, BUENA PARK, CA 90621-2044
(714) 228-1230
(714) 228-0580
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
31414
CA
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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