Individual
SAMANTHA BONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS040572
PA
1223P0221X
Pediatric Dentistry
Primary
108558
CA
Other
Enumeration date
08/24/2015
Last updated
06/02/2023
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