Provider Demographics
NPI:1992947113
Name:BONHAM SUNSHINE DENTAL PLLC
Entity type:Organization
Organization Name:BONHAM SUNSHINE DENTAL PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:KAJURI
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMCHAND
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:469-734-7941
Mailing Address - Street 1:207 E 6TH ST
Mailing Address - Street 2:
Mailing Address - City:BONHAM
Mailing Address - State:TX
Mailing Address - Zip Code:75418-3729
Mailing Address - Country:US
Mailing Address - Phone:469-734-7941
Mailing Address - Fax:
Practice Address - Street 1:207 E 6TH ST
Practice Address - Street 2:
Practice Address - City:BONHAM
Practice Address - State:TX
Practice Address - Zip Code:75418-3729
Practice Address - Country:US
Practice Address - Phone:469-734-7941
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-02
Last Update Date:2009-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty