DR. Bonifacio Hernandez Lopez

NPI #1619319555 in San Juan, Texas

Provider Information

NPI Number: 1619319555
Entity Type: Individual
Name: DR. Bonifacio Hernandez Lopez
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Jul 19, 2013
Last Updated: Jul 19, 2013

Practice Location

Address: 2203 N RAUL LONGORIA RD STE B2
City: San Juan
State: Texas
ZIP Code: 78589-5118
Phone: (956) 314-1684

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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