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Licensing details for: 107217

Name: TORRES BENITEZ, ELSA C

License Type: Dentist

Primary Status: Current - Active

Method of Application: Licensure by WREB

Previous Names: TORRES BENITEZ, ELSA CAROLINA

Address of Record

2723 N Bristol St
Ste D7
SANTA ANA CA 92706-1419
ORANGE county
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Issuance Date

December 27, 2021

Expiration Date

October 31, 2026

Current Date / Time

June 6, 2025
8:16:53 PM

License Relationships

AO to DDS or OMS (Owners)

License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Related Party Role: Additional Office Permit

Name: ELSA TORRES BENITEZ, DDS

License/Registration Type: Additional Office Permit

License Number: 81869 Primary Status: Current - Active

Address :
13089 PEYTON DR STE B
CHINO HILLS CA 91709
SAN BERNARDINO COUNTY

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FNP Owners

License/Registration Role: Owners

Related Party Role: Fictitious Name Permit

Name: CROSSROADS FAMILY DENTAL, DENTAL OFFICE OF TORRES BENITEZ DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 18621 Primary Status: Expired

Address :
13089 PEYTON DR SUITE B
CHINO HILLS CA 91709
SAN BERNARDINO COUNTY

Map

FNP to DDS or OMS

License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Related Party Role: Fictitious Name Permit

Name: CROSSROADS FAMILY DENTAL, DENTAL OFFICE OF TORRES BENITEZ DENTAL CORPORATION

License/Registration Type: Fictitious Name Permit

License Number: 18621 Primary Status: Expired

Address :
13089 PEYTON DR SUITE B
CHINO HILLS CA 91709
SAN BERNARDINO COUNTY

Map

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