Individual
DR. FRED J BONACCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
672 S RIVER ST STE 209, PLAINS, PA 18705-1034
(570) 846-2300
Mailing address
672 S RIVER ST STE 209, PLAINS, PA 18705-1034
(570) 846-2300
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
20145
MA
1223P0300X
Periodontics
Primary
DS031389L
PA
Other
Enumeration date
09/02/2006
Last updated
02/08/2018
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