Individual
DR. SALLYANNE KATHRYN BONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
126 MAIN ST, LEBANON, NJ 08833-2126
(908) 236-9650
(908) 236-7943
Mailing address
126 MAIN ST, LEBANON, NJ 08833-2126
(908) 236-9650
(908) 236-7943
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10824
NJ
Other
Enumeration date
12/05/2006
Last updated
08/14/2007
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