Individual
DR. ANTHERO JUSTIN BENGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
841 S HARBOR BLVD, ANAHEIM, CA 92805-5157
(714) 999-9150
Mailing address
10923 VEACH ST, LOMA LINDA, CA 92354-6524
(714) 496-5798
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
108316
CA
Other
Enumeration date
03/08/2024
Last updated
03/08/2024
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