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Individual

DR. JENNIFER LYNN BONAMICI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
515 DELAWARE ST SE, MINNEAPOLIS, MN 55455-0357
(612) 625-5000
Mailing address
240 CHICAGO AVENUE SOUTH, APARTMENT 338, MINNEAPOLIS, MN 55415
(734) 626-9256

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
R708
MN

Other

Enumeration date
06/19/2018
Last updated
06/19/2018
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