Most Relevant Information
Provider Data
| NPI Number: | 1003300583 |
| Provider Name: | JENNIFER LYNN BONAMICI DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | R708 |
Most Important Dates
| Enumeration Date: | 06/19/2018 |
| Last Updated: | 06/19/2018 |
Provider Practice Location
515 DELAWARE ST SE
MINNEAPOLIS
MN
554550357
Practice Location Phone/Fax
| Phone: | 6126255000 |
| Fax: |
Provider Mailing Location
240 CHICAGO AVENUE SOUTH
APARTMENT 338
MINNEAPOLIS
MN
55415
Provider Mailing Phone/Fax
| Phone: | 7346269256 |
| Fax: |