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DR. ALPHONSO B. BENTON M.D.

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1275519837

Individual Registrant:
DR. ALPHONSO B. BENTON M.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
15944 LOS SERRANOS COUNTRY CLUB DR SUITE 110 CHINO HILLS, CA 91709-3993 US
Tel: 909-606-8767  Fax: 909-597-8681

Contact information for business:
15944 LOS SERRANOS COUNTRY CLUB DR SUITE 110 CHINO HILLS, CA 91709-3993 US
Tel: 909-606-8767  Fax: 909-597-8681

Registration Information:
NPI: 1275519837
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
CAA72741

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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