Jonar R. Bonifacio, DDS

Dentist · Alpine, CA

Individual Active NPI

NPI number 1164436705

Practice location

1620 Alpine Blvd
#121
Alpine, CA 91901-1102
Phone
(619) 445-8896
Fax
(619) 445-7339

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NPI record

NPI
1164436705
Entity type
Individual (Type 1)
Enumeration date
July 28, 2006
Last updated
April 26, 2017
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 47454 CA

About Dr. Bonifacio

Jonar R. Bonifacio, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1620 Alpine Blvd, #121, Alpine, CA 91901-1102. The NPI number 1164436705 was assigned on July 28, 2006 and the record was last updated on April 26, 2017.

Dr. Bonifacio lists a license in the registry: #47454 (CA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jonar R. Bonifacio, DDS?

The NPI number is 1164436705.

What is the phone number of Dr. Bonifacio?

The phone number listed for the practice location is (619) 445-8896.

Where is Dr. Bonifacio located?

1620 Alpine Blvd, #121, Alpine, CA 91901-1102.

What is the taxonomy code for Dr. Bonifacio?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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