Robert L. Bonham, D.D.S. (DENTIST)
General Dentistry · So. Bend, IN
UnclaimedD.D.S. (DENTIST)NPI 1952605560
- Primary taxonomy
- 122300000X
- Enumerated
- 2010-12-23
- Practice location
- So. Bend, IN
- Last NPPES update
- 2010-12-23
State licenses
- IN · Dentist · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.