Individual
BRANDON FREDRIC BONINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1515 E. HOSPITAL DRIVE, G1100 TOWSLEY CENTER, ANN ARBOR, MI 48109
(734) 232-6048
Mailing address
3216 GOLF CLUB RD, HOWELL, MI 48843-9001
(517) 861-0742
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901601400
MI
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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