| Bonita Family Dental | |
|
4424 Bonita Rd Bonita CA 91902-1423 | |
| (619) 479-8703 | |
| Not Available |
| Full Name | Bonita Family Dental |
|---|---|
| Speciality | Dentist |
| Location | 4424 Bonita Rd, Bonita, California |
| Authorized Official Name and Position | Sundeep Hegde (OWNER) |
| Authorized Official Contact | 6194798703 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bonita Family Dental 4424 Bonita Rd Bonita CA 91902-1423 Ph: (619) 479-8703 | Bonita Family Dental 4424 Bonita Rd Bonita CA 91902-1423 Ph: (619) 479-8703 |
| NPI Number | 1285082123 |
|---|---|
| Provider Enumeration Date | 06/01/2016 |
| Last Update Date | 06/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285082123 | NPI | - | NPPES |
| 122300000X | Other | CA | DENTIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (California) | Primary |
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Hoffner Pascua Dds, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 145 Willow St Ste 100, Bonita, CA 91902 Phone: 619-482-9700 | |
Sandhya Hegde Dds, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4424 Bonita Road, Bonita, CA 91902 Phone: 619-479-8703 Fax: 619-479-4115 | |
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