Individual provider · Type 1 NPI

Tami Bonilla, DDS, MSD

Orthodontics and Dentofacial Orthopedics Dentistry · Houston, TX

NPI number 1104289271 Active

Practice location

1250 Bay Area Blvd
Houston, TX 77058-2545

Call (281) 488-6630 Map

Mailing address

7903 Sharpcrest St
Houston, TX 77036-6447

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	30751 (TX)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1104289271

Tami Bonilla, DDS, MSD's National Provider Identifier is 1104289271, issued on Apr 5, 2016. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Houston, TX. The record was last updated on Apr 5, 2016.