Fredric L Bonine DDS, MS, PC

NPI 1063440543 - Dentist - 1223P0106X

NPI Details
NPI 1063440543
Gender Male
Enumeration Date 06/30/2006
Last Updated 05/22/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
6893 GRAND RIVER RD
BRIGHTON MI, 48114-9345, US
Phone (810) 229-9180
Fax (810) 229-1880
Business Location
6893 GRAND RIVER RD
BRIGHTON MI, 48114-9345, US
Phone (810) 229-9180
Fax (810) 229-1880
Toxanomy
Taxonomy Code 1223P0106X
License State Michigan
License Number 2910112106
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According to our database, Dr. Fredric L Bonine DDS, MS, PC NPI is 1063440543, taxonomy code is 1223P0106X and license number is 2910112106, license state is located at Michigan. Fredric L Bonine DDS, MS, PC physically located at 6893 Grand River Rd, Brighton MI, 48114-9345. NPI Number Fredric L Bonine DDS, MS, PC has the Individual type.

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1063440543 NPI number is provided on an as is basis without warranty of any kind. 1063440543 is maintained by the National Plan & Provider Enumeration System. The contents of Fredric L Bonine DDS, MS, PC are for informational purposes only.