# BONITA SMILES LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144142928
- **Authorized official:** MARITZA MICHALAK DMD (PRESIDENT)
- **Authorized official phone:** (813) 990-7449

## Contact information

- **Practice address:** 3533 MCKINLEY AVE, SOUTH BEND, IN 46615-3134
- **Practice address phone:** (813) 990-7449
- **Mailing address:** 3533 MCKINLEY AVE, SOUTH BEND, IN 46615-3134
- **Mailing address phone:** (813) 990-7449

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 07/27/2026
- **Last updated:** 07/27/2026