Christopher E. Bonacci DDS MD PC

NPI #1720006661 in Vienna, Virginia

Provider Information

NPI Number: 1720006661
Entity Type: Organization
Organization Name: Christopher E. Bonacci DDS MD PC
Primary Specialty: Clinic/Center - Oral and Maxillofacial Surgery
Enumeration Date: Jul 18, 2006
Last Updated: Sep 23, 2011

Practice Location

Address: 361 MAPLE AVE W
Address 2: SUITE 200
City: Vienna
State: Virginia
ZIP Code: 22180-4304
Phone: (703) 255-9400

Authorized Official

Name: DR. CHRISTOPHER EUGENE BONACCI, DDS MD
Title: PRESIDENT
Phone: (703) 255-9400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	261QS0112X	Primary

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