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Individual

ELIZABETH ISABELLA BENITEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11799 SEBASTIAN WAY, RANCHO CUCAMONGA, CA 91730-0708
(909) 353-7547
Mailing address
5696 SHARON WAY, RIVERSIDE, CA 92509-5542
(909) 530-7063

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
8860
CA
208000000X
Pediatrics Physician
Primary
1598748410
CA

Other

Enumeration date
07/25/2025
Last updated
07/25/2025
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