NPI | 1750191581 |
---|---|
Doing Business As | BONITA DENTAL CENTER |
Entity Type | Organization |
Authorized Contact | JORGE C. DE LA OSA Owner 310-554-4068 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2025-01-13 |
Last Update Date | 2025-01-13 |