| NPI | 1861139172 |
|---|---|
| Doing Business As | BONITA DEL REY DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | DANNY J HOLTZACLAW Owner 619-482-3264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-05-18 |
| Last Update Date | 2022-05-18 |