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Organization

CLETUS M. BONDS, III, DMD, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CLETUS M. BONDS III DMD (DOCTOR)
(610) 363-0809
Entity
Organization

Contact information

Practice address
80 W WELSH POOL RD, SUITE 201 NORTH, EXTON, PA 19341-1233
(610) 363-0809
(610) 363-0169
Mailing address
80 W WELSH POOL RD, SUITE 201 NORTH, EXTON, PA 19341-1233
(610) 363-0809
(610) 363-0169

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS019857
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0005278070001
PA
01
110703
UNITED CONCORDIA
PA
01
11833-2
AMERICHOICE
PA
01
118331
KEYSTONE MERCY
PA
01
2909
DORAL DENTAL
PA
Enumeration date
03/18/2008
Last updated
03/18/2008
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