Individual
DR. JAMES CHRISTOPHER BONKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3370 DAVISON RD, LAPEER, MI 48446-2903
(810) 664-5947
Mailing address
4688 CHAPEL DR, TROY, MI 48085-5029
(248) 524-1587
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13217
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1536195
—
MI
Enumeration date
05/16/2006
Last updated
07/09/2007
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