FREDRIC L. BONINE, DDS, MS, PC
Managed Care Organizations at Grand River Rd, Brighton Twp, MI

License number
Michigan 2901012106
Category
Managed Care Organizations
Type
Preferred Provider Organization
Owner
Name: DR. FREDRIC L. BONINE DDS, MS, PC
Title: SOLE PROPRIETOR
Phone: (810) 229-9180
Address
Address
6893 Grand River Rd, Brighton Twp, MI 48114
National Provider ID: 1184980914
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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FREDRIC L. BONINE, D.D.S., M.S., PC

Brighton Twp, MI

Doing business as:
Fredric L Bonine PC
Registration:
Oct 10, 1986
Phone:
(810) 229-9180 (Phone)
Addresses:
6893 Grand Riv, Brighton, MI 48114 (Physical)
Michigan (Mailing)
State ID:
183331
Business type:
Domestic Professional Service Corporation
Agent:
Fredric Bonine
Categories:
Dentists, Maxillofacial Physicians & Surgeons

Managed Care Organizations licenses in Michigan

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