Individual
DR. SALVATORE MICHAEL BONANNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
137 HATHAWAY RD, NEW BEDFORD, MA 02746-1304
(914) 747-0231
(914) 747-1953
Mailing address
1090 NORTHCHASE PKWY SE, SUITE 290, KOOL SMILES SUPPORT SERVICES OFFICE/ NCDR, LLC, MARIETTA, GA 30067
(678) 904-5665
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
034267
NY
Other
Enumeration date
06/14/2007
Last updated
05/03/2011
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