Individual
ESTHER LAURA BONILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
343 W HOUSTON ST, SUITE112, SAN ANTONIO, TX 78205-2107
(210) 228-0084
(210) 224-1142
Mailing address
343 W HOUSTON ST, SUITE112, SAN ANTONIO, TX 78205-2107
(210) 228-0084
(210) 224-1142
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16478
TX
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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