Bennett, Della C

Bennett, Della C is an individual health care provider with primary practice located at 10888 Foothill Blvd , Rancho Cucamonga CA 91730-7651. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as her primary health care specialty. Bennett, Della C can be contacted via phone (909) 463-0715.

Contact Information

Primary practice address
10888 Foothill Blvd Rancho Cucamonga CA 91730-7651
Phone: (909) 463-0715
Fax: (909) 580-1363
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X A77086 California

Profile Details

NPI number 1649387952
LBN Legal business name Bennett, Della C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Jul 4th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649387952 NPPES
California MEDICAID GR0079700

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