Individual
DR. CHRISTINA BONAVENTURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
800 WOODBURY RD, SUITE J, WOODBURY, NY 11797-2503
(516) 364-3388
Mailing address
2 TAFT DR, SMITHTOWN, NY 11787-3128
(516) 672-0005
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
054960
NY
1223G0001X
General Practice Dentistry
Primary
054960
NY
Other
Enumeration date
07/20/2010
Last updated
06/13/2016
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