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1316683303
DANIEL JOSEPH BONANNO
MIDVALE, UT
NPI
1316683303
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: UT 12805782-9922)
Enumeration Date
2022-05-11
Last Update Date
2022-05-11
Business Address
DR. DANIEL JOSEPH BONANNO DMD
7681 S 700 E
MIDVALE, UT 84047
Phone number: 530-410-8118
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Mailing Address
DR. DANIEL JOSEPH BONANNO DMD
4989 S STATE ST
SALT LAKE CITY, UT 84107-4843
Phone number: 530-410-8118
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