Dr. Kody Jude Bonin, D.D.S.
Dentist in Spring, TX. Individual provider (NPI-1).
NPI number1184837726
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1184837726
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kody Jude Bonin
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 8, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 15695 | TX | Yes |
Practice location
16835 Deer Creek Dr Ste 230Spring, TX 77379-4895
Phone 281-376-7200
Mailing address
7302 Augusta Pines DrSpring, TX 77389-2127
Phone 281-376-7200
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