Vincent Michael Bono DDS

NPI 1063456994 - Dentist - 1223G0001X

NPI Details
NPI 1063456994
Gender Male
Enumeration Date 06/14/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
113 BLUE JAY DR
SUITE 202
LIBERTY MO, 64068-1997, US
Phone (816) 792-4080
Fax (816) 792-4902
Business Location
113 BLUE JAY DR
SUITE 202
LIBERTY MO, 64068-1997, US
Phone (816) 792-4080
Fax (816) 792-4902
Toxanomy
Taxonomy Code 1223G0001X
License State Missouri
License Number 13901
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According to our database, Dr. Vincent Michael Bono DDS NPI is 1063456994, taxonomy code is 1223G0001X and license number is 13901, license state is located at Missouri. Vincent Michael Bono DDS physically located at 113 Blue Jay Dr, Liberty MO, 64068-1997. NPI Number Vincent Michael Bono DDS has the Individual type.

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1063456994 NPI number is provided on an as is basis without warranty of any kind. 1063456994 is maintained by the National Plan & Provider Enumeration System. The contents of Vincent Michael Bono DDS are for informational purposes only.