DR. Timothy D Bonniwell, DMD

NPI #1386622173 in Ithaca, New York

Provider Information

NPI Number
1386622173
Entity Type
Individual
Name
DR. Timothy D Bonniwell, DMD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Credential
DMD
Enumeration Date
Jan 3, 2006
Last Updated
Sep 22, 2014

Practice Location

Address
2377 N TRIPHAMMER RD
City
Ithaca
ZIP Code
14850-1050
Phone
(607) 266-8600

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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