DR. Jonar R Bonifacio, DDS

NPI #1164436705 in Alpine, California

Provider Information

NPI Number
1164436705
Entity Type
Individual
Name
DR. Jonar R Bonifacio, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Jul 28, 2006
Last Updated
Apr 26, 2017

Practice Location

Address
1620 ALPINE BLVD
Address 2
#121
City
Alpine
ZIP Code
91901-1102
Phone
(619) 445-8896

Specialties & Taxonomy Codes

Specialty
Dentist

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