| Bonner Oral Surgery, PLLC | |
|
4 Hospital Dr Abilene TX 79606-5289 | |
| (325) 437-3100 | |
| (325) 437-3199 |
| Full Name | Bonner Oral Surgery, PLLC |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 4 Hospital Dr, Abilene, Texas |
| Authorized Official Name and Position | Justin Bonner (MANAGING MEMBER) |
| Authorized Official Contact | 3254373100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bonner Oral Surgery, PLLC 4 Hospital Dr Abilene TX 79606-5289 Ph: (325) 437-3100 | Bonner Oral Surgery, PLLC 4 Hospital Dr Abilene TX 79606-5289 Ph: (325) 437-3100 |
| NPI Number | 1578236527 |
|---|---|
| Provider Enumeration Date | 07/27/2021 |
| Last Update Date | 07/27/2021 |
| Certification Date | 07/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578236527 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | () | Primary |
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