Drs Bonifant & Brookreson DDS Pllc

NPI #1356451405 in Martinsburg, West Virginia

Provider Information

NPI Number: 1356451405
Entity Type: Organization
Organization Name: Drs Bonifant & Brookreson DDS Pllc
Primary Specialty: Dentist
Enumeration Date: Aug 30, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1003 SUSHRUTA DR
City: Martinsburg
State: West Virginia
ZIP Code: 25401
Phone: (304) 263-3367

Authorized Official

Name: DR. WILLIAM W BONIFANT, DDS
Title: OFFICER
Phone: (304) 263-3367

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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