Michael Bonomo, Dmd, Llc | |
942 Main St Red Hill PA 18076-1339 | |
(215) 679-8033 | |
Not Available |
Full Name | Michael Bonomo, Dmd, Llc |
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Speciality | Dentist - Dental Public Health |
Location | 942 Main St, Red Hill, Pennsylvania |
Authorized Official Name and Position | Michael A. Bonomo (OWNER) |
Authorized Official Contact | 2156798033 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Michael Bonomo, Dmd, Llc 942 Main St Red Hill PA 18076-1339 Ph: (215) 679-8033 | Michael Bonomo, Dmd, Llc 942 Main St Red Hill PA 18076-1339 Ph: (215) 679-8033 |
NPI Number | 1295073914 |
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Provider Enumeration Date | 01/31/2013 |
Last Update Date | 01/31/2013 |
Identifier | Type | State | Issuer |
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1295073914 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223D0001X | Dentist - Dental Public Health | DS028191L (Pennsylvania) | Primary |
Farris And Moll Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 942 Main Street, Red Hill, PA 18076 Phone: 215-679-8033 Fax: 215-679-8038 |