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Organization
THOMAS C. BONUSO D.D.S., CHARLES T. CAMACHO D.D.S.
Active
Organization
THOMAS C. BONUSO D.D.S., CHARLES T. CAMACHO D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS C BONUSO D.D.S. (DENTIST)
(847) 882-8387
Entity
Organization
Contact information
Practice address
1061 N SALEM DR, SCHAUMBURG, IL 60194-1331
(847) 882-8387
(847) 882-8450
Mailing address
1061 N SALEM DR, SCHAUMBURG, IL 60194-1331
(847) 882-8387
(847) 882-8450
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019014273
—
IL
Enumeration date
04/29/2008
Last updated
04/29/2008
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