Bonner Endodontic Center | |
5756 S Staples St A-2 Corpus Christi TX 78413-3782 | |
(361) 993-3199 | |
(361) 993-2712 |
Full Name | Bonner Endodontic Center |
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Speciality | Dentist - Endodontics |
Location | 5756 S Staples St, Corpus Christi, Texas |
Authorized Official Name and Position | Frank Edmund Bonner (PRESIDENT) |
Authorized Official Contact | 3619933100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bonner Endodontic Center 5756 S Staples St A-2 Corpus Christi TX 78413-3782 Ph: (361) 993-3199 | Bonner Endodontic Center 5756 S Staples St A-2 Corpus Christi TX 78413-3782 Ph: (361) 993-3199 |
NPI Number | 1194934778 |
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Provider Enumeration Date | 05/21/2007 |
Last Update Date | 08/07/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194934778 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223E0200X | Dentist - Endodontics | 19302 (Texas) | Primary |
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