Individual
JEREMY R BONANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
716 N COUNTRY CLUB RD, TUCSON, AZ 85716
(208) 559-6122
(530) 300-7330
Mailing address
1370 N SILVERBELL RD STE 140, #178, TUCSON, AZ 85745-2290
(208) 559-6122
(530) 300-7330
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
Primary
D008861
AZ
Other
Enumeration date
08/31/2011
Last updated
05/08/2025
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