Cosmetic Implant Gold Dental Center
LBN: Esteban D. Bonilla Dds Professional Corporation
Cosmetic Implant Gold Dental Center is an health care organization with primary practice located at 10745 Riverside Drive Suite B, Toluca Lake CA 91602. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty.
Esteban D. Bonilla Dds Professional Corporation can be contacted via phone (818) 980-2887, or through Bonilla, Esteban D via phone (818) 980-2887.
Contact Information
Primary practice address
10745 Riverside Drive Suite B
Toluca Lake CA 91602
Phone: (818) 980-2887
Fax: (818) 980-2807
Website:
Authorized official contact:
Name: Bonilla, Esteban D Doctor of Dental Surgery (DDS)
Phone: (818) 980-2887
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Dental | 261QD0000X | 36135 | California |
Profile Details
NPI number | 1356541361 |
---|---|
LBN Legal business name | Esteban D. Bonilla Dds Professional Corporation |
DBA Doing business as | Cosmetic Implant Gold Dental Center |
Authorized official | Bonilla, Esteban D Doctor of Dental Surgery (DDS) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jul 19th, 2007 |
Last updated | Jul 19th, 2007 - about 18 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1356541361 | NPPES |
California | Other | B36135 | MEDI-CAL PIN |
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