Individual
ALLISON KATHRYN BONSALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2440 FREMONT ST STE 211, MONTEREY, CA 93940-6850
(610) 416-9890
Mailing address
160 MONTEREY AVE APT D, PACIFIC GROVE, CA 93950-2862
(610) 416-9890
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
108850
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2022
Last updated
11/02/2023
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