Individual
DR. CARLOS E BONILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
717 13TH ST # A, SACRAMENTO, CA 95814-1951
(916) 917-5057
(916) 917-5057
Mailing address
717 13TH ST # A, SACRAMENTO, CA 95814-1951
(916) 917-5057
(916) 917-5057
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
43421
CA
Other
Enumeration date
03/02/2009
Last updated
09/22/2022
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