DR. Dominique Bonner, DDS

NPI #1003270612 in Fairfax, Virginia

Provider Information

NPI Number: 1003270612
Entity Type: Individual
Name: DR. Dominique Bonner, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Apr 9, 2016
Last Updated: Jul 25, 2022

Practice Location

Address: 9547A FAIRFAX BLVD
City: Fairfax
State: Virginia
ZIP Code: 22031-4740
Phone: (703) 520-9985

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary
Dentist - General Practice — General Practice	1223G0001X

Additional Practice Locations

83 High St

Waldorf, MD, 20602-2190

(301) 645-3601

1201 S Capitol St SW Ste B

Washington, DC, 20003-3529

(202) 621-8446

5805 Silver Hill Rd

District Heights, MD, 20747-1170

(301) 568-8444

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