| NPI | 1306394176 |
|---|---|
| Other Name | MARIA DEL CARMEN LETICIA BONILLA GARCIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist Endodontics (Licence: FL TEACHING PERMIT 595) |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2016-09-21 |