Individual
DR. JOHN A BAMONTE JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
101 N MEADOWS DR, SUITE 121, WEXFORD, PA 15090-8368
(724) 934-3844
(724) 934-3851
Mailing address
101 N MEADOWS DR, SUITE 121, WEXFORD, PA 15090-8368
(724) 934-3844
(724) 934-3851
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
DS024033L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011269
AETNA
—
Enumeration date
11/02/2005
Last updated
07/08/2007
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