Individual
DR. ALFRED M BONGIORNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
511 WEST GROVE STREET, ROOM 205, MIDDLEBORO, MA 02346
(508) 947-8209
Mailing address
511 WEST GROVE STREET, ROOM 205, MIDDLEBORO, MA 02346
(508) 947-8209
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
13163
MA
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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