# BONITA SONRISA DENTAL IPA

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

## Provider details

- **NPI number:** 1700343233
- **Authorized official:** DR. ALEJANDRO WILLIAMS D.D.S (PRESIDENT/OWNER)
- **Authorized official phone:** (917) 335-3722

## Contact information

- **Practice address:** 1624 DR MARTIN L KING JR BLVD, BRONX, NY 10453-6948
- **Practice address phone:** (845) 793-4469
- **Practice address fax:** (718) 450-8991
- **Mailing address:** 1624 UNIVERSITY AVE BSMT, BRONX, NY 10453-6948
- **Mailing address phone:** (718) 294-3725

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223D0001X | Public Health Dentistry | — | NULL | Yes |
| 1223D0001X | Public Health Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 02/20/2019
- **Last updated:** 02/28/2024