Individual
DR. GARY M BONIOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3611 FORT ST, LINCOLN PARK, MI 48146-4103
(313) 382-4880
(313) 382-0368
Mailing address
3611 FORT ST, LINCOLN PARK, MI 48146-4103
(313) 382-4880
(313) 382-0368
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901015659
MI
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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