| Dr Dominique Bonner, DDS | |
|
9547a Fairfax Blvd, Fairfax, VA 22031-4740 | |
| (703) 520-9985 | |
| Not Available |
| Full Name | Dr Dominique Bonner |
|---|---|
| Gender | Female |
| Speciality | Dentist |
| Location | 9547a Fairfax Blvd, Fairfax, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003270612 | NPI | - | NPPES |
| 019031088 | Other | IL | IL DENTAL LICENSE # |
| 0401415681 | Other | VA | VA DENTAL LICENSE # |
| 16313 | Other | MD | MD DENTAL LICENSE # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 16313 (Maryland) | Secondary |
| 1223G0001X | Dentist - General Practice | 16313 (Maryland) | Secondary |
| 122300000X | Dentist | 0401415681 (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dominique Bonner, DDS 9547a Fairfax Blvd, Fairfax, VA 22031-4740 Ph: (703) 520-9985 | Dr Dominique Bonner, DDS 9547a Fairfax Blvd, Fairfax, VA 22031-4740 Ph: (703) 520-9985 |
Dr. David Paul Sibley, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3700 Joseph Siewick Dr, Suite #307, Fairfax, VA 22033 Phone: 703-715-9227 Fax: 703-715-9229 | |
Dr. Rita El Khoury, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 11050 Us-29, Fairfax, VA 22030 Phone: 703-520-6376 | |
Robert Byron Johnson, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 10640 Main St, #300, Fairfax, VA 22030 Phone: 703-246-9355 | |
Dr. Nathan Chulwon Lee, DDS Dentist Medicare: Medicare Enrolled Practice Location: 3611 Chain Bridge Rd Ste B, Fairfax, VA 22030 Phone: 703-273-8450 Fax: 703-273-8354 | |
Dr. Manmeet Kour, DMD Dentist Medicare: Medicare Enrolled Practice Location: 3903 Fair Ridge Dr Ste 207, Fairfax, VA 22033 Phone: 703-385-2772 | |
Dr. Hieu Phuong Nguyen, Dentist Medicare: Not Enrolled in Medicare Practice Location: 8303 Arlington Blvd, 107, Fairfax, VA 22031 Phone: 703-226-2222 |