Organization
DAVID W BONDERER DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEDE J BONDERER (OFFICE MANAGER)
(228) 497-2424
Entity
Organization
Contact information
Practice address
2808 HWY 90, SUITE 1, GAUTIER, MS 39553
(228) 497-2424
(228) 497-0621
Mailing address
PO BOX 68, GAUTIER, MS 39553
(228) 497-2424
(228) 497-0621
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
163974
MS
Other
Enumeration date
06/25/2008
Last updated
06/25/2008
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