# LYLE I BONNY

> 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:** 1588112841
- **Authorized official:** MRS. DEE HORST (ACCOUNTS)
- **Authorized official phone:** (509) 248-4957

## Contact information

- **Practice address:** 112 S 39TH ST, YAKIMA, WA 98901-1450
- **Practice address phone:** (509) 248-4957
- **Practice address fax:** (509) 575-5436
- **Mailing address:** 112 S 39TH ST, YAKIMA, WA 98901-1450
- **Mailing address phone:** (509) 248-4957
- **Mailing address fax:** (509) 575-5436

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 00006196 | WA | Yes |

## Other

- **Enumeration date:** 09/15/2016
- **Last updated:** 09/15/2016