Individual provider · Type 1 NPI

Kathleen Susan Bonilla, RDH

Dental Hygienist · Coppell, TX

NPI number 1962533505 Active

Practice location

120 S Denton Tap Rd, Suite #100
Coppell, TX 75019-3297

Call (469) 635-1105 Map

Mailing address

4185 Sicily Dr
Frisco, TX 75034-6660

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X12610 (TX)

Dental Hygienist: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and…

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About NPI 1962533505

Kathleen Susan Bonilla, RDH's National Provider Identifier is 1962533505, issued on Mar 7, 2007. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Coppell, TX. The record was last updated on Jul 8, 2007.