Most Relevant Information
Provider Data
| NPI Number: | 1003026998 |
| Provider Name: | DAVID CHARLES BONADEO D.D.S. |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 2901011889 |
Most Important Dates
| Enumeration Date: | 05/22/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
G3280 S GRAND TRAVERSE ST
BURTON
MI
485291152
Practice Location Phone/Fax
| Phone: | 8107444400 |
| Fax: | 8107441314 |
Provider Mailing Location
G3280 S GRAND TRAVERSE ST
BURTON
MI
485291152
Provider Mailing Phone/Fax
| Phone: | 8107444400 |
| Fax: | 8107441314 |