Individual
DR. MILES HUGH BONOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
838 HIGH RIDGE RD, STAMFORD, CT 06905-1913
(203) 322-5153
(203) 329-9151
Mailing address
838 HIGH RIDGE RD, STAMFORD, CT 06905-1913
(203) 322-5153
(203) 329-9151
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5329
CT
Other
Enumeration date
08/09/2005
Last updated
04/05/2018
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