Organization · Type 2 NPI

Karla Bonilla

Pediatric Dentistry · Tijuana, MX

NPI number 1649811704 Active

Practice location

Jose Clemente Orozco 2230
Tijuana, MX 22010

Fax (866) 272-6924

Mailing address

4275 Executive Sq Ste 200
La Jolla, CA 92037-1476

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XNone listed

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1649811704

Karla Bonilla's National Provider Identifier is 1649811704, issued on Sep 30, 2019. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Tijuana, MX. The record was last updated on Sep 30, 2019.