NPI 1073773495

David R Bonnevie, DDS

Practitioner Dentist Niagara Falls, NY

Practice location

Address: 2145 Lancelot Dr, Niagara Falls, NY 14304-3093
Phone: (716) 297-1644
Fax: (716) 297-9855

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 035042 (NY)

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Registry record

NPI: 1073773495
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Jun 2008
Record last updated: 10 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.