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1275947228
DIEGO BONILLA
SAN ANTONIO, TX
NPI
1275947228
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TX 30022)
Enumeration Date
2014-06-18
Last Update Date
2014-06-18
Business Address
-- DIEGO BONILLA DDS
5202 TEXANA DR APT 536
SAN ANTONIO, TX 78249-3793
Phone number: 817-937-1411
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Mailing Address
-- DIEGO BONILLA DDS
5202 TEXANA DR APT 536
SAN ANTONIO, TX 78249-3793
Phone number: 817-937-1411
Copy
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