Individual
DR. BONNY G MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3102 DAVIDSONVILLE RD, DAVIDSONVILLE, MD 21035-1803
(410) 956-5555
(410) 798-5165
Mailing address
PO BOX 364, DAVIDSONVILLE, MD 21035-0364
(410) 956-5555
(410) 798-5165
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11985
MD
122300000X
Dentist
7595
MD
122300000X
Dentist
7646
MD
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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