Individual
BONA KO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1357 E FLORENCE AVE, LOS ANGELES, CA 90001-1934
(323) 835-0444
Mailing address
2050 E ALGONQUIN RD STE 610, SCHAUMBURG, IL 60173-4166
(888) 988-4066
(847) 496-4850
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
109042
CA
Other
Enumeration date
11/12/2019
Last updated
08/08/2023
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