Individual
JOSEPH A BONOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2680 EAST STATE HWY 114, SOUTHLAKE, TX 76092
(817) 251-2121
(817) 251-6259
Mailing address
2680 EAST STATE HWY 114, SOUTHLAKE, TX 76092
(817) 251-2121
(817) 251-6259
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12638
TX
Other
Enumeration date
01/25/2008
Last updated
01/25/2008
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