Trudy Marie Bonvino, DDS MS

NPI #1518023464 in Prior Lake, Minnesota

Provider Information

NPI Number: 1518023464
Entity Type: Individual
Name: Trudy Marie Bonvino, DDS MS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS MS
Enumeration Date: Dec 28, 2006
Last Updated: Jul 7, 2014

Practice Location

Address: 14065 COMMERCE AVE NE
City: Prior Lake
State: Minnesota
ZIP Code: 55372-1436
Phone: (952) 469-3333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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