Jason N Bongiovi D.M.D.

NPI 1083791131 - Dentist - 122300000X

NPI Details
NPI 1083791131
Gender Male
Enumeration Date 11/01/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
950 LANEY WALKER BLVD
RICHMOND COUNTY HEALTH DEPARTMENT
AUGUSTA GA, 30901-2960, US
Phone (706) 721-5891
Fax (706) 721-5898
Business Location
950 LANEY WALKER BLVD
RICHMOND COUNTY HEALTH DEPARTMENT
AUGUSTA GA, 30901-2960, US
Phone (706) 721-5891
Fax (706) 721-5898
Toxanomy
Taxonomy Code 122300000X
License State Georgia
License Number DN013085
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According to our database, Dr. Jason N Bongiovi D.M.D. NPI is 1083791131, taxonomy code is 122300000X and license number is DN013085, license state is located at Georgia. Jason N Bongiovi D.M.D. physically located at 950 Laney Walker Blvd, Augusta GA, 30901-2960. NPI Number Jason N Bongiovi D.M.D. has the Individual type.

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1083791131 NPI number is provided on an as is basis without warranty of any kind. 1083791131 is maintained by the National Plan & Provider Enumeration System. The contents of Jason N Bongiovi D.M.D. are for informational purposes only.