Individual
DR. PAUL GEREON BODNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
365 E MAIN ST, SUITE #2, BRANFORD, CT 06405-2913
(203) 481-2509
Mailing address
365 E MAIN ST, SUITE #2, BRANFORD, CT 06405-2913
(203) 481-2509
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7086
CT
Other
Enumeration date
01/23/2017
Last updated
01/23/2017
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