Individual
JAVIER E BONILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
17140 ROYAL PALM BLVD, SUITE 2, WESTON, FL 33326-2312
(954) 217-8411
(951) 217-9243
Mailing address
17140 ROYAL PALM BLVD, SUITE 2, WESTON, FL 33326-2312
(954) 217-8411
(951) 217-9243
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN 17089
FL
Other
Enumeration date
03/06/2008
Last updated
03/06/2008
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