Organization
GREGG S. BONAMICI DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGG STUART BONAMICI DDS (DENTIST)
(313) 565-8544
Entity
Organization
Contact information
Practice address
23601 FORD RD STE 2, DEARBORN, MI 48128-1259
(313) 565-8544
Mailing address
9780 HAWTHORNE GLEN DR, GROSSE ILE, MI 48138-1686
(734) 552-9277
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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