Albert Bonanno, DDS

NPI #1366561136 in Farmingville, New York

Provider Information

NPI Number
1366561136
Entity Type
Individual
Name
Albert Bonanno, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - Endodontics
Credential
DDS
Enumeration Date
Mar 29, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1025 PORTION RD
Address 2
SUITE H
ZIP Code
11738-2291
Phone
(631) 696-0100

Specialties & Taxonomy Codes

Specialty
Dentist - EndodonticsEndodontics

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