Individual
DR. GREGG STUART BONAMICI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
23601 FORD RD, DEARBORN, MI 48128-1227
(313) 565-8544
(313) 565-3870
Mailing address
23601 FORD RD, DEARBORN, MI 48128-1227
(313) 565-8544
(313) 565-3870
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13719
MI
Other
Enumeration date
11/15/2007
Last updated
11/15/2007
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