| NPI | 1649811704 |
|---|---|
| Doing Business As | KARLA BONILLA |
| Entity Type | Organization |
| Authorized Contact | KARLA BONILLA Dentist 619-488-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2019-09-30 |