Individual
DR. BONNIE MOREHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1507 W YOSEMITE AVE, MANTECA, CA 95337-5159
(209) 823-9341
(209) 823-5091
Mailing address
1507 W YOSEMITE AVE, MANTECA, CA 95337-5159
(209) 823-9341
(209) 823-5091
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
28362
CA
Other
Enumeration date
07/22/2013
Last updated
07/22/2013
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