Individual
DR. MICHAEL A BONOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
519 W BROAD STREET, QUAKERTOWN, PA 18951-1215
(215) 538-0211
(215) 679-8038
Mailing address
519 W BROAD STREET, QUAKERTOWN, PA 18951-1215
(215) 538-0211
(215) 679-8038
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DSO28191
PA
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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