Individual
DR. LYLE I BONNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
112 S 39TH ST, YAKIMA, WA 98901-1450
(509) 248-4957
(509) 575-5436
Mailing address
2402 W YAKIMA AVE, YAKIMA, WA 98902-2833
(509) 452-3731
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00006196
WA
Other
Enumeration date
07/30/2006
Last updated
07/08/2007
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