Individual
ANNIE GRACE BONIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3320 RUTGER ST, SAINT LOUIS, MO 63104-1122
(314) 977-8363
Mailing address
5700 HIGHLANDS PLAZA DR APT 4061, SAINT LOUIS, MO 63110-1376
(225) 290-9523
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/22/2025
Last updated
05/22/2025
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