Esteban D Bonilla in Toluca Lake - Dentist
Esteban D Bonilla - NPI 1114148723
Esteban D Bonilla is a Dentist in Toluca Lake, California. Esteban D Bonilla practices all healthcare services and medical treatments related to Dentist. The NPI Number for Esteban D Bonilla is 1114148723. The last update date is 2007-07-16.
Esteban D Bonilla's current location address is 10745 Riverside Drive, Toluca Lake, California. You can contact this provider via phone number 8189802887 and fax number 8189802807. The mailing address for Esteban D Bonilla is 10745 Riverside Drive, Toluca Lake, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Esteban D Bonilla |
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Address | 10745 Riverside Drive, Toluca Lake, California |
Phone Number | 8189802887 |
Fax Number | 8189802807 |
Sole Proprietor | Y |
Credentials | DDS |
NPI Number Detail
NPI Number | 1114148723 |
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Provider Enumeration Date | 2007-05-01 |
Last Updated Date | 2007-07-16 |
Provider Mailing Address Detail
Address | 10745 Riverside Drive |
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City | Toluca Lake |
State | California (CA) |
Post Code | 916022371 |
Phone Number | 8189802887 |
Fax Number | 8189802807 |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
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Taxonomy | 122300000X |
Licence No | 36135 |
Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
B36135 | CA | MEDI-CAL PROVIDER NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to Esteban D Bonilla by the Centers for Medicare & Medicaid Services (CMS)?
The Esteban D Bonilla has been assigned the NPI (National Provider Identifier) 1114148723. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Esteban D Bonilla's facilities are geographically located?
The facilities of Esteban D Bonilla are physically situated at the following location: 10745 Riverside Drive, Toluca Lake, CA, 916022371.
What is Esteban D Bonilla's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Esteban D Bonilla is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
On what date did the Esteban D Bonilla receive the assignment of its 1114148723 from the Centers for Medicare & Medicaid Services?
The Esteban D Bonilla was issued its 1114148723 by the Centers for Medicare & Medicaid Services on 2007-05-01.
As of what date were the details pertaining to Esteban D Bonilla last refreshed?
The information related to the Esteban D Bonilla, including its address, specialty, and other relevant details, was last updated on 2007-07-16.
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