Individual
BRUCE A BOHNSACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
100 W 3RD ST, COKATO, MN 55321
(320) 286-5333
(320) 286-5631
Mailing address
PO BOX 669, COKATA, MN 55321
(320) 286-5333
(320) 286-5631
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8315
MN
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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