David W Bonderer DDS Pllc

NPI #1891957544 in Gautier, Mississippi

Provider Information

NPI Number: 1891957544
Entity Type: Organization
Organization Name: David W Bonderer DDS Pllc
Primary Specialty: Dentist
Enumeration Date: Jun 25, 2008
Last Updated: Jun 25, 2008

Practice Location

Address: 2808 HWY 90
Address 2: SUITE 1
City: Gautier
State: Mississippi
ZIP Code: 39553
Phone: (228) 497-2424

Authorized Official

Name: DEDE J BONDERER
Title: OFFICE MANAGER
Phone: (228) 497-2424

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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