Individual
DR. DAVID GEORGE BONFANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3673 ESSEX RD, SUITE 2, WILLSBORO, NY 12996
(518) 963-7307
Mailing address
3673 ESSEX RD, PO BOX 310, WILLSBORO, NY 12996
(518) 963-7307
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
030808
NY
Other
Enumeration date
06/28/2006
Last updated
11/15/2012
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