| NPI | 1821583469 |
|---|---|
| Doing Business As | BONITA MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | BRETT SCHOW Owner 505-988-2121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2018-06-26 |