Lyle I Bonny

NPI #1588112841 in Yakima, Washington

Provider Information

NPI Number: 1588112841
Entity Type: Organization
Organization Name: Lyle I Bonny
Primary Specialty: Dentist
Enumeration Date: Sep 15, 2016
Last Updated: Sep 15, 2016

Practice Location

Address: 112 S 39TH ST
City: Yakima
State: Washington
ZIP Code: 98901-1450
Phone: (509) 248-4957

Authorized Official

Name: MRS. DEE HORST
Title: ACCOUNTS
Phone: (509) 248-4957

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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