Organization
MICHAEL BONOMO, DMD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL A. BONOMO DMD (OWNER)
(215) 679-8033
Entity
Organization
Contact information
Practice address
942 MAIN ST, RED HILL, PA 18076-1339
(215) 679-8033
Mailing address
942 MAIN ST, RED HILL, PA 18076-1339
(215) 679-8033
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
DS028191L
PA
Other
Enumeration date
01/31/2013
Last updated
01/31/2013
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