JERRY LEE BONDURANT

CHARLESTON, WV
NPI1902938863
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: WV  1980)
Enumeration Date2007-03-09
Last Update Date2007-07-09
Business Address
DR. JERRY LEE BONDURANT DDS
1900 SCHOOL ST KANAWHA DENTAL HEALTH COUNCIL INC
CHARLESTON, WV 25312-1524
Phone number: 304-348-6613
Mailing Address
DR. JERRY LEE BONDURANT DDS
314 SOUTH ST
SO CHARLESTON, WV 25303-1823
Phone number: 304-744-6962
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