Individual
DR. THOMAS LARANCE BONAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
810 LIBERTY ST NE, SALEM, OR 97301-2450
(503) 581-4615
(501) 581-7279
Mailing address
810 LIBERTY ST NE, SALEM, OR 97301-2450
(503) 581-4615
(501) 581-7279
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11643
OR
Other
Enumeration date
07/21/2022
Last updated
07/21/2022
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