Individual
DR. JOHN J BONGHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
151 BUFFALO AVENUE, SUITE 208, NIAGARA FALLS, NY 14303-1290
(716) 285-6268
(716) 285-0066
Mailing address
151 BUFFALO AVENUE, SUITE 208, NIAGARA FALLS, NY 14303-1290
(716) 285-6268
(716) 285-0066
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
027417
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00605692
—
NY
Enumeration date
07/14/2006
Last updated
07/08/2007
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