Organization
BONITA CLEMENTE DELA RAMA, DDS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BONITA CLEMENTE DELA RAMA DDS (DENTIST)
(650) 878-0651
Entity
Organization
Contact information
Practice address
980 KING PLZ, SUITE #1, DALY CITY, CA 94015-4450
(650) 878-0651
Mailing address
980 KING PLZ, SUITE #1, DALY CITY, CA 94015-4450
(650) 878-0651
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
31448
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B31448-01
DENTICAL
CA
Enumeration date
08/27/2009
Last updated
08/27/2009
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