Organization · Type 2 NPI
Bonita Smiles LLC
Dental Clinic/Center · South Bend, IN
NPI number
1144142928
Active
Practice location
3533 Mckinley Ave
South Bend, IN 46615-3134
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1144142928
Bonita Smiles LLC's National Provider Identifier is 1144142928, issued on Jul 27, 2026. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in South Bend, IN. The record was last updated on Jul 27, 2026.