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Individual

DR. DANIEL LEE BONDRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
201 S MCPHERSON CHURCH RD, SUITE 102, FAYETTEVILLE, NC 28303
(910) 485-3636
(910) 222-9401
Mailing address
201 S MCPHERSON CHURCH RD, SUITE 102, FAYETTEVILLE, NC 28303
(910) 485-3636
(910) 222-9401

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
6654
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
708042
UNITED CONCORDIA
NC
05
899000T
NC
01
9000T
BCBS
NC
Enumeration date
11/06/2006
Last updated
07/08/2007
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