Organization
BONITA SONRISA DENTAL MSO
Active
Other names
BONITA SONRISA DENTAL MSO
Organization subpart
No
Provider details
NPI number
Authorized official
ALEJANDRO WILLIAMS DDS (PRESIDENT)
(718) 294-3725
Entity
Organization
Contact information
Practice address
1624 DR MARTIN L KING JR BLVD, BRONX, NY 10453-6948
(845) 793-4469
(718) 450-8991
Mailing address
1624 UNIVERSITY AVE, BRONX, NY 10453-6948
(718) 294-3725
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Enumeration date
01/07/2020
Last updated
11/11/2022
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