| NPI | 1831381086 |
|---|---|
| Doing Business As | BONITA DENTAL |
| Entity Type | Organization |
| Authorized Contact | DIANA A BATOON President 480-776-0643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: AZ 4819) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2007-08-13 |