Individual
MR. AARON BENJAMIN BENITEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.D.H.A.P.
Contact information
Practice address
21001 COVELLO ST, CANOGA PARK, CA 91303-1403
(818) 825-1389
(323) 443-3904
Mailing address
21001 COVELLO ST, CANOGA PARK, CA 91303-1403
(818) 825-1389
(323) 443-3904
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
173
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z89783-01
—
CA
Enumeration date
01/08/2007
Last updated
11/14/2013
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