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Organization
CLETUS M. BONDS, III, DMD, PC
Active
Organization
CLETUS M. BONDS, III, DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLETUS M. BONDS III DMD (DOCTOR)
(610) 363-0809
Entity
Organization
Contact information
Practice address
80 W WELSH POOL RD, SUITE 201 NORTH, EXTON, PA 19341-1233
(610) 363-0809
(610) 363-0169
Mailing address
80 W WELSH POOL RD, SUITE 201 NORTH, EXTON, PA 19341-1233
(610) 363-0809
(610) 363-0169
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS019857
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005278070001
—
PA
01
—
110703
UNITED CONCORDIA
PA
01
—
11833-2
AMERICHOICE
PA
01
—
118331
KEYSTONE MERCY
PA
01
—
2909
DORAL DENTAL
PA
Enumeration date
03/18/2008
Last updated
03/18/2008
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