Provider Demographics
NPI:1215577697
Name:TORRES BENITEZ, MARTHA HILDA (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARTHA
Middle Name:HILDA
Last Name:TORRES BENITEZ
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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:714-569-0021
Mailing Address - Fax:714-569-0022
Practice Address - Street 1:2723 N BRISTOL ST STE D7
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92706-1419
Practice Address - Country:US
Practice Address - Phone:714-569-0021
Practice Address - Fax:714-569-0022
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-13
Last Update Date:2020-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADDS104581122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist