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Cheryl Bonam
General Practice Dentistry in Los Angeles, California
NPI 1962576629

Cheryl Bonam is a General Practice Dentistry based in Los Angeles, CA and is specialized in General Practice. Cheryl Bonam practices in Los Angeles, CA. The NPI Number for Cheryl Bonam is 1962576629 and holds a License No. 0E10717 (California).

The current practice location address for Cheryl Bonam is 11929 Venice Blvd Apt 209, Los Angeles, CA and can be reached out via phone at 310-397-3802.

Location: 11929 Venice Blvd Apt 209, Los Angeles, CA, 90066-3931
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962576629
Provider Name
Cheryl Bonam
Credential
Provider Entity Type
Individual
Gender
Female
Address
11929 Venice Blvd Apt 209, Los Angeles, CA, 90066-3931
Phone Number
310-397-3802
Fax Number
Provider Enumeration Date
11/17/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
11929 Venice Blvd Apt 209
City
Los Angeles
State
California
Zip
90066-3931
Phone Number
310-397-3802
Fax Number
person
Provider Business Mailing Address Details
Address
11929 Venice Blvd Apt 209
City
Los Angeles
State
California
Zip
90066-3931
Phone Number
310-397-3802
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
0E10717 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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