Jonar R Bonifacio, Dds, INC
NPI #1790515484 in Alpine, California
Provider Information
- NPI Number
- 1790515484
- Entity Type
- Organization
- Organization Name
- Jonar R Bonifacio, Dds, INC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 6, 2024
- Last Updated
- Aug 6, 2024
Practice Location
- Address
- 1620 ALPINE BLVD STE 121
- City
- Alpine
- State
- California
- ZIP Code
- 91901-1104
- Phone
- (619) 445-8896
Authorized Official
- Name
- DR. JONAR R BONIFACIO, DDS
- Title
- OWNER/DENTIST
- Phone
- (619) 445-8896
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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