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1962533505
KATHLEEN SUSAN BONILLA
COPPELL, TX
NPI
1962533505
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: TX 12610)
Enumeration Date
2007-03-07
Last Update Date
2007-07-08
Business Address
MRS. KATHLEEN SUSAN BONILLA RDH
120 S DENTON TAP RD SUITE #100
COPPELL, TX 75019-3297
Phone number: 469-635-1105
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Mailing Address
MRS. KATHLEEN SUSAN BONILLA RDH
4185 SICILY DR
FRISCO, TX 75034-6660
Phone number: 972-987-5587
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