| Drs Bonasso And Kime Pllc | |
|
100 Greenbrier Plaza Fairmont WV 26554 | |
| (304) 366-9833 | |
| Not Available |
| Full Name | Drs Bonasso And Kime Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 100 Greenbrier Plaza, Fairmont, West Virginia |
| Authorized Official Name and Position | Franklin David Bonasso (OWNER) |
| Authorized Official Contact | 3043669833 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Drs Bonasso And Kime Pllc 100 Greenbrier Plaza Fairmont WV 26554 Ph: (304) 366-9833 | Drs Bonasso And Kime Pllc 100 Greenbrier Plaza Fairmont WV 26554 Ph: (304) 366-9833 |
| NPI Number | 1730335167 |
|---|---|
| Provider Enumeration Date | 08/18/2008 |
| Last Update Date | 04/02/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730335167 | NPI | - | NPPES |
| 163857 | Other | WV | UNITED CONCORDIA |
| 0134750000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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