DR. Robert T. Bonacker, D.D.S.
NPI #1720008345 in North Baldwin, New York
Provider Information
- NPI Number
- 1720008345
- Entity Type
- Individual
- Name
- DR. Robert T. Bonacker, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Jul 19, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 640 DE MOTT AVE
- City
- North Baldwin
- State
- New York
- ZIP Code
- 11510-1325
- Phone
- (516) 223-9132
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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