Buoniconti, Kelly A

Buoniconti, Kelly A is an sole proprietor health care provider with primary practice located at 26112 Overlook Pkwy Ste 1108, San Antonio TX 78260-6051. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Dentist. Dental Providers / Dentist is her primary health care specialty. Buoniconti, Kelly A can be contacted via phone (210) 293-0810.

Contact Information

Primary practice address
26112 Overlook Pkwy Ste 1108 San Antonio TX 78260-6051
Phone: (210) 293-0810
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X RES.3571 Ohio
Dental Providers / Dentist 122300000X 31847 Texas

Profile Details

NPI number 1164880787
LBN Legal business name Buoniconti, Kelly A
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 10th, 2016
Last updated Jun 7th, 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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