Individual
DR. DAVID CHARLES BONADEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
G3280 S GRAND TRAVERSE ST, BURTON, MI 48529-1152
(810) 744-4400
(810) 744-1314
Mailing address
G3280 S GRAND TRAVERSE ST, BURTON, MI 48529-1152
(810) 744-4400
(810) 744-1314
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901011889
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2901011889
BOARD OF DENTISTRY LIC.
MI
Enumeration date
05/22/2007
Last updated
07/08/2007
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