Individual
DR. TAMI BONILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MSD
Contact information
Practice address
1250 BAY AREA BLVD, HOUSTON, TX 77058-2545
(281) 488-6630
Mailing address
7903 SHARPCREST ST, HOUSTON, TX 77036-6447
(512) 963-7008
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
30751
TX
Other
Enumeration date
04/05/2016
Last updated
04/05/2016
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