| NPI | 1336407410 |
|---|---|
| Doing Business As | BONITA ART OF AESTHETIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MARIA LUISA C. VALES Dentist 619-427-2646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 43262) |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2012-04-26 |