Individual
DR. ALYSSA ANGELA BONOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
50 IRVING ST NW, WASHINGTON, DC 20422-0001
(202) 745-8272
Mailing address
770 P ST NW APT 302, WASHINGTON, DC 20001-2543
(267) 733-5461
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/03/2022
Last updated
07/03/2022
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