Individual
DELLA C BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10888 FOOTHILL BLVD, RANCHO CUCAMONGA, CA 91730-7651
(909) 463-0715
(909) 463-0675
Mailing address
10888 FOOTHILL BLVD, RANCHO CUCAMONGA, CA 91730-7651
(909) 556-2450
(909) 580-1363
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
A77086
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0079700
—
CA
Enumeration date
08/23/2006
Last updated
09/30/2024
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