Bonilla, Esteban D

Bonilla, Esteban D is an sole proprietor health care provider with primary practice located at 10745 Riverside Drive Suite B, Toluca Lake CA 91602-2371. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / General Practice is his primary health care specialty. Bonilla, Esteban D can be contacted via phone (818) 980-2887.

Contact Information

Primary practice address
10745 Riverside Drive Suite B Toluca Lake CA 91602-2371
Phone: (818) 980-2887
Fax: (818) 980-2807
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 36135 California
Dental Providers / Dentist 122300000X 36135 California

Profile Details

NPI number 1114148723
LBN Legal business name Bonilla, Esteban D
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2007
Last updated Jul 16th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114148723 NPPES
California Other B36135 MEDI-CAL PROVIDER NUMBER

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