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1790890705
ANDREW O BONAVITA
LONGMEADOW, MA
NPI
1790890705
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MA 17903)
Enumeration Date
2006-08-20
Last Update Date
2007-07-08
Business Address
-- ANDREW O BONAVITA DMD
123 DWIGHT RD
LONGMEADOW, MA 01106-1748
Phone number: 413-567-7735
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Mailing Address
-- ANDREW O BONAVITA DMD
123 DWIGHT RD
LONGMEADOW, MA 01106-1748
Phone number: 413-567-7735
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