Bonilla, Carmen

Bonilla, Carmen is an individual health care provider with primary practice located at 3200 S University Dr , Davie FL 33328-2018. She recently has only one registered license in Dental Providers / Endodontics, which is considered as her primary health care specialty. Bonilla, Carmen can be contacted via phone (954) 262-7213.

Contact Information

Primary practice address
3200 S University Dr Davie FL 33328-2018
Fax: (954) 262-7355
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X TEACHING PERMIT 595 Florida

Profile Details

NPI number 1306394176
LBN Legal business name Bonilla, Carmen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2016
Last updated Sep 21st, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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