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DIEGO ALBERTO BONILLA DENTAL ASSISTANT

Dental Assistant

West Palm Beach, Florida

Provider NPI: 1801132451

Provider Information:
 DIEGO ALBERTO BONILLA DENTAL ASSISTANT
Gender: M
Not Sole Proprietor

Practice Location:
7305 NORTH MILITARY TRAIL  WEST PALM BEACH, FL 33410 US
Tel: 561-422-7734  Fax: --

Business Mailing Address:
2544 NW 98TH WAY  CORAL SPRINGS, FL 33065 US
Tel: 305-394-1578  Fax: --

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y126800000XDental Providers
Dental Assistant
ZZDR 129942





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