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Contact Information

DENNIS BONAVILLA
34859 FREDERICK STREET
SUITE 112
WILDOMAR, CA92595
 Phone: 951-897-0770
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Electroneurodiagnostic

246ZE0600X
Indicates primary specialty

NPI Profile & details for DENNIS BONAVILLA · (Male)

NPI Number 1023535820
Status Active
Credentials
Entity Individual
Enumeration date 08/23/2017
Last updated 08/23/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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