Organization
BONNIE M. BADII, D.D.S., DENTAL PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA ANN MORA (MANAGER)
(619) 994-6040
Entity
Organization
Contact information
Practice address
480 4TH AVE STE 314, CHULA VISTA, CA 91910-4403
(619) 425-8060
Mailing address
645 SAN ANTONIO AVE, SAN DIEGO, CA 92106-3458
(619) 994-6040
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/05/2018
Last updated
04/05/2018
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