Individual
DR. DANIEL JOSEPH BONANNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7681 S 700 E, MIDVALE, UT 84047
(530) 410-8118
Mailing address
4989 S STATE ST, SALT LAKE CITY, UT 84107-4843
(530) 410-8118
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12805782-9922
UT
Other
Enumeration date
05/11/2022
Last updated
05/11/2022
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