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Organization
BONITA SONRISA DENTAL IPA
Active
Organization
BONITA SONRISA DENTAL IPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEJANDRO WILLIAMS D.D.S (PRESIDENT/OWNER)
(917) 335-3722
Entity
Organization
Contact information
Practice address
1624 DR MARTIN L KING JR BLVD, BRONX, NY 10453-6948
(845) 793-4469
(718) 450-8991
Mailing address
1624 UNIVERSITY AVE BSMT, BRONX, NY 10453-6948
(718) 294-3725
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
NULL
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Enumeration date
02/20/2019
Last updated
02/28/2024
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