| Andrew Bonavita Dmdpc | |
|
123 Dwight Rd Longmeadow MA 01106-1748 | |
| (413) 567-7735 | |
| (413) 565-2579 |
| Full Name | Andrew Bonavita Dmdpc |
|---|---|
| Speciality | Dentist |
| Location | 123 Dwight Rd, Longmeadow, Massachusetts |
| Authorized Official Name and Position | Andrew O Bonavita (PRESIDENT) |
| Authorized Official Contact | 4135677735 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Bonavita Dmdpc 123 Dwight Rd Longmeadow MA 01106-1748 Ph: (413) 567-7735 | Andrew Bonavita Dmdpc 123 Dwight Rd Longmeadow MA 01106-1748 Ph: (413) 567-7735 |
| NPI Number | 1780841213 |
|---|---|
| Provider Enumeration Date | 05/21/2008 |
| Last Update Date | 05/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780841213 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 17903 (Massachusetts) | Primary |
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