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Julie Bonham
Dental Therapist in Little Falls, Minnesota
NPI 1326548454

Julie Bonham is a Dental Therapist based in Minneapolis, MN. Julie Bonham practices in Little Falls, MN. The NPI Number for Julie Bonham is 1326548454 and holds a License No. DT95 (Minnesota).

The current practice location address for Julie Bonham is 803 3Rd St. Se, Little Falls, MN and can be reached out via phone at 206-315-6536.

Location: 803 3Rd St. Se, Little Falls, MN, 55433-5810
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326548454
Provider Name
Julie Bonham
Credential
Provider Entity Type
Individual
Gender
Female
Address
803 3Rd St. Se, Little Falls, MN, 55433-5810
Phone Number
206-315-6536
Fax Number
Provider Enumeration Date
02/15/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
467477400 05 MN
institution
Provider Business Practice Location Address Details
Address
803 3Rd St. Se
City
Little Falls
State
Minnesota
Zip
56345
Phone Number
206-315-6536
Fax Number
person
Provider Business Mailing Address Details
Address
803 3Rd St. Se
City
Little Falls
State
Minnesota
Zip
56345
Phone Number
206-315-6536
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dental Therapist
Speciality
-
Taxonomy
125J00000X
License No.
DT95 (Minnesota)
Definition
A Dental Therapist is an individual who has completed an accredited or non-accredited dental therapy program and who has been authorized by the relevant state board or a tribal entity to provide services within the scope of their practice under the supervision of a dentist. Functions that may be delegated to the dental therapist vary based on the needs of the dentist, the educational preparation of the dental therapist and state dental practice acts and regulations.
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