# BONNER ENDODONTIC CENTER

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

## Provider details

- **NPI number:** 1194934778
- **Authorized official:** DR. FRANK EDMUND BONNER JR. DDS (PRESIDENT)
- **Authorized official phone:** (361) 993-3100

## Contact information

- **Practice address:** 5756 S STAPLES ST, A-2, CORPUS CHRISTI, TX 78413-3782
- **Practice address phone:** (361) 993-3199
- **Practice address fax:** (361) 993-2712
- **Mailing address:** 5756 S STAPLES ST, A-2, CORPUS CHRISTI, TX 78413-3782
- **Mailing address phone:** (361) 993-3199
- **Mailing address fax:** (361) 993-2712

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 19302 | TX | Yes |

## Other

- **Enumeration date:** 05/21/2007
- **Last updated:** 08/07/2008