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Individual

DR. GINA MARIE BONAVENTURA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS, MS

Contact information

Practice address
2734 SUNRISE BLVD, SUITE 302, PEARLAND, TX 77584-8514
(281) 854-2960
(281) 854-2961
Mailing address
2734 SUNRISE BLVD, SUITE 302, PEARLAND, TX 77584-8514
(281) 854-2960
(281) 854-2961

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
19659
TX

Other

Enumeration date
02/19/2007
Last updated
07/08/2007
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