Organization
DENTISTRY 4 KIDZ, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL STEVEN BONNER DDS (DENTIST/OWNER)
(940) 691-5027
Entity
Organization
Contact information
Practice address
#1 EUREKA CIRCLE #103, WICHITA FALLS, TX 76308
(940) 691-5027
(940) 691-5076
Mailing address
#1 EUREKA CIRCLE #103, WICHITA FALLS, TX 76308
(940) 691-5027
(940) 691-5076
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
14022
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14022
STATE DENTAL LISCENSE
TX
Enumeration date
11/01/2006
Last updated
07/31/2008
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