| NPI | 1629426283 |
|---|---|
| Doing Business As | BONITA DENTAL |
| Entity Type | Organization |
| Authorized Contact | KHALID JILANI General Dentist/Manager 702-748-8244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NV 6504) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics |
| 1223P0300X Dentist, Periodontics | |
| 1223P0700X Dentist, Prosthodontics | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2023-05-15 |