Individual
BONITA CODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
9100 FRANKLIN SQUARE DR, ROSEDALE, MD 21237-3903
(410) 887-6440
Mailing address
9100 FRANKLIN SQUARE DR, ROSEDALE, MD 21237-3903
(410) 887-6440
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9162
MD
Other
Enumeration date
05/30/2007
Last updated
02/18/2009
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