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
Fax: (818) 980-2807
Website:
Authorized official contact:
Name: Bonilla, Esteban D Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356541361 NPPES
California Other B36135 MEDI-CAL PIN

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