DIEGO ALBERTO BONILLA

WEST PALM BEACH, FL
NPI1801132451
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy126800000X Dental Assistant
(Licence: ZZ  DR 129942)
Enumeration Date2012-12-28
Last Update Date2012-12-28
Business Address
DIEGO ALBERTO BONILLA DENTAL ASSISTANT
7305 NORTH MILITARY TRAIL
WEST PALM BEACH, FL 33410
Phone number: 561-422-7734
Mailing Address
DIEGO ALBERTO BONILLA DENTAL ASSISTANT
2544 NW 98TH WAY
CORAL SPRINGS, FL 33065-4960
Phone number: 305-394-1578