| Bonham Family Dentistry | |
|
101 E 9th Street Bonham TX 75418 | |
| (903) 583-8023 | |
| (903) 583-1291 |
| Full Name | Bonham Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 101 E 9th Street, Bonham, Texas |
| Authorized Official Name and Position | Lisa M Clark (CORP SECRETARY) |
| Authorized Official Contact | 9035838023 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bonham Family Dentistry 101 E 9th Street Bonham TX 75418 Ph: (903) 583-8023 | Bonham Family Dentistry 101 E 9th Street Bonham TX 75418 Ph: (903) 583-8023 |
| NPI Number | 1376655357 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376655357 | NPI | - | NPPES |
| 1318239 | Other | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 20341 (Texas) | Primary |
| 1223G0001X | Dentist - General Practice | 20340 (Texas) | Secondary |
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