NPI
Dominique Bonilla
NPI 1023935558
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Credential
- LAC
- Type
- Individual
- Enumeration date
- 2026-07-06
- Last updated
- 2026-07-06
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Specialties
Licenses
- License AR
- A2606022
Location
- Practice location
- 2113 Little Flock Dr
- City
- Little Flock AR
- Postal code
- 72756-7042
- Phone
- (479) 621-0385
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Little Flock, AR. 42 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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