NPI 1295743805

Kenneth J Bonk, DDS

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Rochester Hills, MI

Practice location

Address: 1460 Walton Blvd STE 10, Rochester Hills, MI 48309
Phone: (248) 651-4202
Fax: (248) 651-4204
Mailing address: 1460 Walton STE 10, Rochester Hills, MI 48309

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 10782 (MI)

Other Oral & Maxillofacial Surgery providers in Michigan →

Registry record

NPI: 1295743805
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Aug 2006
Record last updated: 8 Jul 2007

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.