Individual
DR. TERRENCE DONALD BONGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3620 E 41ST ST, MINNEAPOLIS, MN 55406-3332
(612) 729-3244
Mailing address
3620 E 41ST ST, MINNEAPOLIS, MN 55406-3332
(612) 729-3244
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8412
MN
Other
Enumeration date
12/15/2006
Last updated
01/22/2008
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