Provider Demographics
NPI:1396406492
Name:TORRES BENITEZ, ELSA C (DDS)
Entity Type:Individual
Prefix:DR
First Name:ELSA
Middle Name:C
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?:No
Enumeration Date:2022-01-01
Last Update Date:2022-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1072171223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice