Individual
ALFONSO BENITEZ SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDA
Contact information
Practice address
28237 NEWHALL RANCH RD, VALENCIA, CA 91355-0986
(661) 257-4242
(661) 294-0020
Mailing address
28237 NEWHALL RANCH RD, VALENCIA, CA 91355-0986
(661) 257-4242
(661) 294-0020
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
86289
CA
Other
Enumeration date
08/14/2017
Last updated
08/14/2017
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