Individual
PERRY TODD BONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
22 TRUCK HOUSE RD, EAST WING, SEVERNA PARK, MD 21146-2728
(410) 647-4900
Mailing address
22 TRUCKHOUSE ROAD, EAST WING, SEVERNA PARK, MD 21146
(410) 647-4900
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
11049
MD
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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