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Organization
BONITA SONRISA DENTAL MSO
Active
Organization
BONITA SONRISA DENTAL MSO
Active
Other names
BONITA SONRISA DENTAL MSO
Organization subpart
No
Provider details
NPI number
Authorized official
ALEJANDRO WILLIAMS DDS (PRESIDENT)
(718) 294-3725
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, 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
01/07/2020
Last updated
11/11/2022
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