Individual
DR. ANTHONY OLIVER BONACORSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D,D,S,
Contact information
Practice address
80 PHOENIX AVE, WATERBURY, CT 06702-1418
(203) 756-8021
(203) 596-9038
Mailing address
1302 S MAIN ST, WATERBURY, CT 06706-1748
(203) 597-9044
(203) 597-8860
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
003859
CT
Other
Enumeration date
05/24/2007
Last updated
02/29/2012
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