DR. Lawrence M. Bonanno, D.D.S.

NPI #1992969489 in Chicago, Illinois

Provider Information

NPI Number: 1992969489
Entity Type: Individual
Name: DR. Lawrence M. Bonanno, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Jul 14, 2008
Last Updated: Oct 14, 2009

Practice Location

Address: 4801 W. PETERSON AVE
Address 2: 316
City: Chicago
State: Illinois
ZIP Code: 60646
Phone: (773) 685-9666

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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