Individual
BONANN GIFFORD GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
592 ROCKAWAY AVE, BROOKLYN, NY 11212-5539
(718) 345-5000
(718) 346-6747
Mailing address
915 E 40TH ST, BROOKLYN, NY 11210-3509
(718) 345-5000
(718) 346-6747
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
021860
NY
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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