Dennis Bonavilla
Dennis Bonavilla is an Electroneurodiagnostic Specialist/Technologist in Wildomar, California. Practices as a sole proprietor. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
34859 Frederick St Ste 112Wildomar, CA 92595
Phone: (951) 897-0770
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Electroneurodiagnostic Specialist/Technologist (primary) | Taxonomy 246ZE0600X |
|---|
Record details
| NPI number | 1023535820 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 23, 2017 |
| Last updated in NPPES | August 23, 2017 |
| Mailing address | 34859 Frederick St Ste 112, Wildomar, CA 92595-7007 |