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1497479877
JACOB ANTHONY BONOLA
MARSHALL, TX
NPI
1497479877
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223D0001X Dentist, Dental Public Health
(Licence: TX 39027)
Enumeration Date
2022-09-29
Last Update Date
2022-09-29
Business Address
JACOB ANTHONY BONOLA DMD
100 FORREST TER
MARSHALL, TX 75670-6804
Phone number: 903-938-8315
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Mailing Address
JACOB ANTHONY BONOLA DMD
1800 BARRINGTON DR
KELLER, TX 76262-9004
Phone number: 817-915-0888
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