Dennis Bonavilla
NPI #1023535820 in Wildomar, California
Provider Information
- NPI Number
- 1023535820
- Entity Type
- Individual
- Name
- Dennis Bonavilla
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist, Other - Electroneurodiagnostic
- Enumeration Date
- Aug 23, 2017
- Last Updated
- Aug 23, 2017
Practice Location
- Address
- 34859 FREDERICK STREET
- Address 2
- SUITE 112
- City
- Wildomar
- State
- California
- ZIP Code
- 92595
- Phone
- (951) 897-0770
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist, Other - Electroneurodiagnostic — Electroneurodiagnostic |
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