Bonicelli, Tanya
Bonicelli, Tanya is an individual health care provider with primary practice located at 4302 13Th Ave S , Fargo ND 58103-3395. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Bonicelli, Tanya can be contacted via phone (701) 277-3269.Contact Information
Primary practice address
4302 13Th Ave S
Fargo ND 58103-3395
Phone: (701) 277-3269
Fax: (701) 277-4994
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 2027 | North Dakota |
Profile Details
| NPI number | 1770744690 |
|---|---|
| LBN Legal business name | Bonicelli, Tanya |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2008 |
| Last updated | Oct 27th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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