Esteban D. Bonilla DDS Professional Corporation
NPI #1356541361 in Toluca Lake, California
Provider Information
- NPI Number
- 1356541361
- Entity Type
- Organization
- Organization Name
- Esteban D. Bonilla DDS Professional Corporation
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jul 19, 2007
- Last Updated
- Jul 19, 2007
Practice Location
- Address
- 10745 RIVERSIDE DRIVE
- Address 2
- SUITE B
- City
- Toluca Lake
- State
- California
- ZIP Code
- 91602
- Phone
- (818) 980-2887
Authorized Official
- Name
- DR. ESTEBAN D BONILLA, D.D.S.
- Title
- DENTIST / OWNER
- Phone
- (818) 980-2887
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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