Daniel Joseph Bonanno, DMD Valid NPI
Individual provider · General Practice Dentistry · Midvale, UT
- NPI
- 1316683303
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 12805782-9922 (UT)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2022-05-11
- Last updated
- 2022-05-11
Practice location
7681 S 700 E
Midvale, UT 84047
(530) 410-8118