Individual
DR. JONATHAN BONNET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3610 CAPITAL AVE SW, BATTLE CREEK, MI 49015-9354
(269) 965-1339
Mailing address
3610 CAPITAL AVE SW, BATTLE CREEK, MI 49015-9354
(269) 965-1339
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
2901020237
MI
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
4301105945
MI
Other
Enumeration date
04/08/2014
Last updated
05/14/2020
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