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1063440543
FREDRIC L BONINE
BRIGHTON, MI
NPI
1063440543
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0106X Dentist, Oral and Maxillofacial Pathology
(Licence: MI 2910112106)
Enumeration Date
2006-06-30
Last Update Date
2012-05-22
Business Address
Dr. FREDRIC L BONINE DDS, MS, PC
6893 GRAND RIVER RD
BRIGHTON, MI 48114-9345
Phone number: 810-229-9180
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Mailing Address
Dr. FREDRIC L BONINE DDS, MS, PC
6893 GRAND RIVER RD
BRIGHTON, MI 48114-9345
Phone number: 810-229-9180
Copy
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