Individual
DR. TREVOR S. BONILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S., P.A.
Contact information
Practice address
137 W. STATE HIGHWAY 121, SUITE 105, COPPELL, TX 75019
(972) 459-6800
(972) 459-9300
Mailing address
137 W. STATE HIGHWAY 121, SUITE 105, COPPELL, TX 75019
(972) 459-6800
(972) 459-9300
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
19752
TX
Other
Enumeration date
04/12/2007
Last updated
02/24/2023
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