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Individual
DR. JOSEPH DAVIN BONAVILLA
Active
Individual
DR. JOSEPH DAVIN BONAVILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
0401411675
VA
1223E0200X
Endodontics
3516
WV
1223E0200X
Endodontics
Primary
4305
SC
1223E0200X
Endodontics
50-051910
NY
1223E0200X
Endodontics
DN013507
GA
Other
Enumeration date
05/22/2007
Last updated
10/09/2007
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