Individual
ANUPAMA BONAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4315 FREDERICKSBURG RD, SAN ANTONIO, TX 78201-2017
(210) 399-3958
Mailing address
803 SW MILITARY DR STE 132, SAN ANTONIO, TX 78221-1567
(210) 923-2337
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
38547
TX
Other
Enumeration date
06/24/2022
Last updated
06/24/2022
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