| NPI | 1801323548 |
|---|---|
| Doing Business As | BONITA ESTERO DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | CASSANDRA NICHOLE TEUTSCH Credentialing Coordinator 217-994-6957 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2017-05-12 |