Organization
SOCIETY HILL DENTAL IN LEWISBURG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT J. BONOMO D.M.D. (DENTIST/OWNER)
(215) 238-0800
Entity
Organization
Contact information
Practice address
339 MARKET STREET, LEWISBURG, PA 17837
(570) 523-3207
Mailing address
339 MARKET STREET, LEWISBURG, PA 17837
(570) 523-3207
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS025793L
PA
Other
Enumeration date
05/31/2018
Last updated
05/31/2018
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