| Raymond Bonomo Periodontics | |
|
424 Ray Norrish Dr Cincinnati OH 45246-1520 | |
| (513) 671-0222 | |
| (513) 671-0256 |
| Full Name | Raymond Bonomo Periodontics |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 424 Ray Norrish Dr, Cincinnati, Ohio |
| Authorized Official Name and Position | Raymond Bonomo (OWNER) |
| Authorized Official Contact | 5136710222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Raymond Bonomo Periodontics 34 Remick Blvd Springboro OH 45066-9168 Ph: (937) 886-9940 | Raymond Bonomo Periodontics 424 Ray Norrish Dr Cincinnati OH 45246-1520 Ph: (513) 671-0222 |
| NPI Number | 1144595901 |
|---|---|
| Provider Enumeration Date | 03/13/2012 |
| Last Update Date | 03/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144595901 | NPI | - | NPPES |
| 1588715726 | Other | OH | NPI # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 021449 (Ohio) | Primary |
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