Organization
DANIEL M BONINE DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL BONINE DDS (PRESIDENT)
(269) 381-4435
Entity
Organization
Contact information
Practice address
200 TURWILL LN, KALAMAZOO, MI 49006-4277
(269) 381-4435
(269) 488-4831
Mailing address
200 TURWILL LN, KALAMAZOO, MI 49006-4277
(269) 381-4435
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114595212
CHRISTINE UGGERI
MI
Enumeration date
03/31/2022
Last updated
03/31/2022
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