# ESTHER LAURA BONILLA D.D.S.

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

## Provider details

- **NPI number:** 1508950320
- **Authorized official:** ESTHER LAURA BONILLA D.D.S (OWNER)
- **Authorized official phone:** (210) 228-0084

## Contact information

- **Practice address:** 343 W HOUSTON ST, SUITE 112, SAN ANTONIO, TX 78205-2107
- **Practice address phone:** (210) 228-0084
- **Practice address fax:** (210) 224-1142
- **Mailing address:** 343 W HOUSTON ST, SUITE 112, SAN ANTONIO, TX 78205-2107
- **Mailing address phone:** (210) 228-0084
- **Mailing address fax:** (210) 224-1142

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 16478 | TX | Yes |

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 08/22/2020