Provider Demographics
NPI:1851050876
Name:BONNIE VIEW DENTAL AND ORTHODONTICS PLLC
Entity Type:Organization
Organization Name:BONNIE VIEW DENTAL AND ORTHODONTICS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAHUL
Authorized Official - Middle Name:
Authorized Official - Last Name:JOSHI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:480-747-5129
Mailing Address - Street 1:6181 BONNIE VIEW RD # 100
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75241-5149
Mailing Address - Country:US
Mailing Address - Phone:214-432-0204
Mailing Address - Fax:214-432-0213
Practice Address - Street 1:6181 BONNIE VIEW RD # 100
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75241-5149
Practice Address - Country:US
Practice Address - Phone:214-432-0204
Practice Address - Fax:214-432-0213
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-17
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223D0001XDental ProvidersDentistDental Public HealthGroup - Multi-Specialty