Individual
SAMANTHA BONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
90 MIDDLEFIELD RD # 1, MENLO PARK, CA 94025-4001
(650) 323-0264
Mailing address
7372 MCKNIGHT RD, PITTSBURGH, PA 15237-3558
(412) 364-6440
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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