Individual
PAMELLA MELLISA BONNER-GRAVELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
160 HAMILTON ST, ALLENTOWN, PA 18101-1948
(610) 477-0105
Mailing address
702 MULBERRY DR, NAZARETH, PA 18064-8682
(610) 879-9582
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH073708
PA
Other
Enumeration date
07/05/2024
Last updated
07/05/2024
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