Provider Demographics
NPI:1699533521
Name:TORRES BENITEZ DENTAL CORPORATION
Entity type:Organization
Organization Name:TORRES BENITEZ DENTAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RAUL
Authorized Official - Middle Name:I
Authorized Official - Last Name:SARAVIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-561-2890
Mailing Address - Street 1:2723 N BRISTOL ST STE D7
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92706-1419
Mailing Address - Country:US
Mailing Address - Phone:949-561-2890
Mailing Address - Fax:714-569-0022
Practice Address - Street 1:13089 PEYTON DR STE B
Practice Address - Street 2:
Practice Address - City:CHINO HILLS
Practice Address - State:CA
Practice Address - Zip Code:91709-6018
Practice Address - Country:US
Practice Address - Phone:949-561-2890
Practice Address - Fax:714-569-0021
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-06
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty