DR. Jason N Bongiovi, D.M.D.

NPI #1083791131 in Augusta, Georgia

Provider Information

NPI Number: 1083791131
Entity Type: Individual
Name: DR. Jason N Bongiovi, D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.M.D.
Enumeration Date: Nov 1, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 950 LANEY WALKER BLVD
Address 2: RICHMOND COUNTY HEALTH DEPARTMENT
City: Augusta
State: Georgia
ZIP Code: 30901-2960
Phone: (706) 721-5891

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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