National Provider Identifier Database

DELLA C BENNETT, MD – NPI #1649387952
Plastic and Reconstructive Surgery


Contact Information

DELLA C BENNETT, MD
10888 FOOTHILL BLVD
RANCHO CUCAMONGA, CA91730-7651
Phone: 909-463-0715
Fax: 909-463-0675
Website:
Specialty Taxonomy Code
* Plastic and Reconstructive Surgery 2086S0122X

* Indicates primary specialty

NPI Profile & details for DELLA C BENNETT

NPI Number 1649387952
Credentials MD
Entity Individual
Enumeration date 08/23/2006
Last updated 09/30/2024 - More than a year ago
Sole proprietor1 No
Identifiers
  • CA License #: A77086
  • CA Medicaid: GR0079700
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for DELLA C BENNETT, MD

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